TIFFANI HETRICK
NPI 1356710206
Counselor - Mental Health in San Luis Obispo, CA
Active since September 22, 2015
About Tiffani Hetrick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANI HETRICK (NPI 1356710206) is an individual mental health provider in San Luis Obispo, California and active in the NPI registry since September 2015.
NPPES Registry Identity
NPI1356710206
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIFFANI HETRICK
Location Address2178 JOHNSON AVESan Luis Obispo, CA 93401-4535
Mailing Address2178 Johnson AveSan Luis Obispo, CA 93401-4535 · (805) 781-4700
Phone(805) 781-4700
Sole ProprietorNo
Enumeration DateSeptember 22, 2015
✔ NPI 1356710206 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2178 JOHNSON AVE, San Luis Obispo, CA 93401
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor
2178 JOHNSON AVE, SAN LUIS OBISPO COUNTY MENTAL HEALTH SERVICES
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
Registered Nurse (Psychiatric/Mental Health, Adult)
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356710206, enumerated as an "individual" on September 22, 2015.
The provider is located at 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 and the phone number is (805) 781-4700.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.