KEVIN MAXWELL

SAN LUIS OBISPO, CA
NPI1477766376
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  pt30081)
Enumeration Date2007-05-07
Last Update Date2007-07-08
Business Address
-- KEVIN MAXWELL LPT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4741
Mailing Address
-- KEVIN MAXWELL LPT
2178 JOHNSON AVENUE
SAN LUIS OBISPO, CA 93401
Phone number: 805-781-4741
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