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Jill Bolster-White

Counselor, Mental Health in San Luis Obispo, CA. Individual provider (NPI-1).

NPI number1073809331
StatusActive
Last updated in NPPESJun 24, 2011

Details

NPI
1073809331
Entity type
Individual (NPI-1)
Name
Jill Bolster-White
Sex
Female
Sole proprietor
No
Enumeration date
Jun 24, 2011
Last updated
Jun 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

784 High St
San Luis Obispo, CA 93401-5243

Phone 805-540-6505 · Fax 805-540-6501

Mailing address

784 High St
San Luis Obispo, CA 93401-5243

Phone 805-540-6505 · Fax 805-540-6501

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