Most Relevant Information
Provider Data
| NPI Number: | 1003228792 |
| Provider Name: | THOMAS BURDICK |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/29/2014 |
| Last Updated: | 05/29/2014 |
Provider Practice Location
2178 JOHNSON AVE
SAN LUIS OBISBO
CA
93401
Practice Location Phone/Fax
| Phone: | 8057814711 |
| Fax: |
Provider Mailing Location
4001 EL POMAR DR
TEMPLETON
CA
93465
Provider Mailing Phone/Fax
| Phone: | 8059033640 |
| Fax: |