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NPI Code Detail

MEDICARE: JOHN LESLIE STURGES III

MEDICARE: JOHN LESLIE STURGES III
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1003327297
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN LESLIE STURGES III
Provider Business Mailing Address
First Line : 2504 REFUGIO RD
Second Line :
City : GOLETA
State : CA
Zip : 93117-9778
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2504 REFUGIO RD
Second Line :
City : GOLETA
State : CA
Zip : 93117-9778
Country : US
Telephone Number : 805-243-0199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2017
Last Update Date : 03/12/2026

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Directions to “ JOHN LESLIE STURGES III ” Practice Location

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