Roudebush, Kristen Virginia

Roudebush, Kristen Virginia is an sole proprietor health care provider with primary practice located at 2050 Broad St , San Luis Obispo CA 93401-5203. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Roudebush, Kristen Virginia can be contacted via phone (805) 441-3845.

Contact Information

Primary practice address
2050 Broad St San Luis Obispo CA 93401-5203
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 107108 California

Profile Details

NPI number 1124369244
LBN Legal business name Roudebush, Kristen Virginia
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2013
Last updated Jul 30th, 2018 - about 8 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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