KELLY LOVE MEYER

SAN LUIS OBISPO, CA
NPI1477087518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C10251214)
Enumeration Date2017-04-15
Last Update Date2017-04-15
Business Address
-- KELLY LOVE MEYER CAS
2801 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-5864
Phone number: 805-235-0059
Mailing Address
-- KELLY LOVE MEYER CAS
2801 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-5864
Phone number: 805-235-0059