Most Relevant Information
Provider Data
| NPI Number: | 1003400458 |
| Provider Name: | MATTHEW DEAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/25/2021 |
| Last Updated: | 02/25/2021 |
Provider Practice Location
4251 S HIGUERA ST STE 300
SAN LUIS OBISPO
CA
934017741
Practice Location Phone/Fax
| Phone: | 5102142767 |
| Fax: |
Provider Mailing Location
4251 S HIGUERA ST STE 300
SAN LUIS OBISPO
CA
934017741
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |