Dastic, Jeremy

Dastic, Jeremy is an sole proprietor health care provider with primary practice located at 130 W Branch St Ste B , Arroyo Grande CA 93420-6617. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Dastic, Jeremy can be contacted via phone (805) 242-8164.

Contact Information

Primary practice address
130 W Branch St Ste B Arroyo Grande CA 93420-6617
Phone: (805) 242-8164
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 96863 California

Profile Details

NPI number 1649752635
LBN Legal business name Dastic, Jeremy
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2018
Last updated Jun 6th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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