JUSTIN DWAYNE HOLLAND

SAN LUIS OBISPO, CA
NPI1699311191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-11-20
Last Update Date2019-11-20
Business Address
Mr. JUSTIN DWAYNE HOLLAND
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
Mailing Address
Mr. JUSTIN DWAYNE HOLLAND
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500