Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randall Kullgren

Individual provider Mental Health Counselor · NPI 1417152315

Randall Kullgren is a Mental Health Counselor in San Luis Obispo, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

761 W Foothill Blvd #231
San Luis Obispo, CA 93405
Phone: (805) 781-3535
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1417152315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2007
Last updated in NPPESApril 10, 2012

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