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General NPI Number Information
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NPI Number | 1407715915
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Entity Type | Organization
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Legal Business Name | SLO COASTAL COUNSELING, A MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1411 MARSH ST STE 105
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-2967
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Country | US
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Telephone | 805-792-7830
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Fax | 805-439-0703
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Provider Business Mailing Address
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Address Line | PO BOX 268
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93406-0268
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Country | US
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Telephone | 805-792-7830
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Fax |
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Authorized Official
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Title or Position | LMFT & CEO
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Name | EMILIE CRIST
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Credential | LMFT
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Telephone | 805-792-7830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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