KEVIN SUMNER-EISENBRAUN
NPI 1164611992
Counselor - Mental Health in San Luis Obispo, CA
Active since October 17, 2007
About Kevin Sumner-eisenbraun NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN SUMNER-EISENBRAUN (NPI 1164611992) is an individual mental health provider in San Luis Obispo, California and active in the NPI registry since October 2007.
NPPES Registry Identity
NPI1164611992
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN SUMNER-EISENBRAUN
Location Address3765 S HIGUERA ST STE 100San Luis Obispo, CA 93401-1577
Mailing Address527 Crown Hill St Apt BArroyo Grande, CA 93420-2852
Phone(805) 781-3535
Sole ProprietorNo
Enumeration DateOctober 17, 2007
✔ NPI 1164611992 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3765 S HIGUERA ST STE 100, San Luis Obispo, CA 93401
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164611992, enumerated as an "individual" on October 17, 2007.
The provider is located at 3765 S HIGUERA ST STE 100 SAN LUIS OBISPO, CA 93401 and the phone number is (805) 781-3535.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
