Bradley Larose in San Luis Obispo - Counselor
Bradley Larose - NPI 1669641007
Bradley Larose is a Counselor in San Luis Obispo, California. Bradley Larose practices all healthcare services and medical treatments related to Counselor. The NPI Number for Bradley Larose is 1669641007. The last update date is 2008-02-28.
Bradley Larose's current location address is 2176 Johnson Ave, San Luis Obispo, California. You can contact this provider via phone number 8057815375. The mailing address for Bradley Larose is 2176 Johnson Ave, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Larose |
|---|---|
| Address | 2176 Johnson Ave, San Luis Obispo, California |
| Phone Number | 8057815375 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669641007 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2008-02-28 |
Provider Mailing Address Detail
| Address | 2176 Johnson Ave |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934014535 |
| Phone Number | 8057815375 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
|
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the Bradley Larose's unique identification number?
The Bradley Larose has been assigned the NPI (National Provider Identifier) Number 1669641007 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Bradley Larose?
The Bradley Larose is situated at 2176 Johnson Ave, in the city of San Luis Obispo, state of CA, with the zip code 934014535.
What is Bradley Larose's area of expertise and its corresponding taxonomy classification?
The Bradley Larose's field of specialization is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their areas of practice.
When was the Bradley Larose's 1669641007 issued?
The Bradley Larose's 1669641007 was issued on 2008-02-28.
When was the information regarding Bradley Larose, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bradley Larose, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-28.
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