WYATT ELLIOTT RYAN

SAN LUIS OBISPO, CA
NPI1700158680
Professional NameWYATT ELLIOTT RYAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT 93606)
Enumeration Date2012-02-07
Last Update Date2016-09-20
Business Address
Mr. WYATT ELLIOTT RYAN LMFT 93606
473 SANDERCOCK ST 2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-5158
Phone number: 805-801-0081
Mailing Address
Mr. WYATT ELLIOTT RYAN LMFT 93606
473 SANDERCOCK ST
SAN LUIS OBISPO, CA 93401-5158
Phone number: 805-801-0081
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