Most Relevant Information
Provider Data
| NPI Number: | 1003516824 |
| Provider Name: | DINA MARIE KRULL APCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 13030 |
Most Important Dates
| Enumeration Date: | 03/09/2023 |
| Last Updated: | 03/09/2023 |
Provider Practice Location
676 PISMO ST
SAN LUIS OBISPO
CA
934013945
Practice Location Phone/Fax
| Phone: | 8055437969 |
| Fax: |
Provider Mailing Location
2575 GREENWOOD AVE
MORRO BAY
CA
934421544
Provider Mailing Phone/Fax
| Phone: | 8057128088 |
| Fax: |