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Paul Ebo

Marriage & Family Therapist in San Luis Obispo, CA. Individual provider (NPI-1).

NPI number1013418243
StatusActive
Last updated in NPPESJun 11, 2024

Details

NPI
1013418243
Entity type
Individual (NPI-1)
Name
Paul Ebo
Sex
Male
Sole proprietor
No
Enumeration date
Feb 22, 2018
Certification date
Jun 11, 2024
Last updated
Jun 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist–CAYes
106S00000X Behavior Technician–CA

Practice location

676 Pismo St
San Luis Obispo, CA 93401-3945

Phone 805-543-7969

Mailing address

676 Pismo St
San Luis Obispo, CA 93401-3945

Phone 805-543-7969

Other practice locations

9335 Reseda Blvd Ste 101
Northridge, CA 91324-2968

Phone 818-960-0634

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