BRANDI LEE MASSENGALE CUELLAR

SAN LUIS OBISPO, CA
NPI1679841779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  catc # 102505)
Enumeration Date2011-12-05
Last Update Date2011-12-05
Business Address
-- BRANDI LEE MASSENGALE CUELLAR C.A.T.C.
2494 PENNINGTON CREEK RD
SAN LUIS OBISPO, CA 93405-7841
Phone number: 805-782-7258
Mailing Address
-- BRANDI LEE MASSENGALE CUELLAR C.A.T.C.
691 HERMOSA CT
GROVER BEACH, CA 93433-2932
Phone number: 805-748-0067
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