| Sacred Path | |
|
1390 Price St Pismo Beach CA 93449-2218 | |
| (805) 235-8937 | |
| Not Available |
| Full Name | Sacred Path |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1390 Price St, Pismo Beach, California |
| Authorized Official Name and Position | Scott Dolan (CFO) |
| Authorized Official Contact | 8058688442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Path 815 Foxenwood Dr Santa Maria CA 93455-4185 Ph: (805) 868-8442 | Sacred Path 1390 Price St Pismo Beach CA 93449-2218 Ph: (805) 235-8937 |
| NPI Number | 1316671258 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 07/15/2022 |
| Certification Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316671258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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