| Lompoc Misc | |
|
117 N B St Lompoc CA 93436-6901 | |
| (805) 737-6642 | |
| Not Available |
| Full Name | Lompoc Misc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 117 N B St, Lompoc, California |
| Authorized Official Name and Position | Kelly Griffin (ADMHS PRACTITIONER INTERN) |
| Authorized Official Contact | 8057376642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lompoc Misc 117 N B St Lompoc CA 93436-6901 Ph: () - | Lompoc Misc 117 N B St Lompoc CA 93436-6901 Ph: (805) 737-6642 |
| NPI Number | 1659443034 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659443034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | IMF45437 (California) | Primary |
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