Brandon J Glick
Individual provider Active NPI Mental Health Counselor · San Luis Obispo, CA
NPI 1659530293 · NPPES record last updated Jun 9, 2008
Key facts
- NPI
- 1659530293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3765 S Higuera St Ste 100
San Luis Obispo, CA 93401-1577 - Phone
- (805) 781-3535
- NPI assigned
- Jun 9, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Network, Inc. | Past | Accepting new patients | |
| Family Care Network, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3765 S Higuera St Ste 100
San Luis Obispo, CA 93401-1577
Mailing address
825 El Capitan Way
San Luis Obispo, CA 93401-8944
Phone (805) 781-3535
Other providers in San Luis Obispo, CA
- Claire Girolo
- Garrett Girvan
- Phyllis Githinji
- Eric Eivind Gjerdrum
- Jess Elizabeth Gladwill
- Israel Gliksberg
- Glimpse Chiropractic, Inc.
- Daniel Eric Glimpse
- James Evan Glinn Jr.
- Dawn A Glove
All providers in San Luis Obispo, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.