KELLY MARK HARRISON

SAN LUIS OBISPO, CA
NPI1114360385
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2013-04-08
Last Update Date2013-08-19
Business Address
KELLY MARK HARRISON
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
Mailing Address
KELLY MARK HARRISON
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500