DEREK SMITH LAURITZEN

SAN LUIS OBISPO, CA
NPI1619735503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2024-03-06
Last Update Date2024-03-11
Business Address
DEREK SMITH LAURITZEN
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-781-4768
Mailing Address
DEREK SMITH LAURITZEN
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-781-4768
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