Doctor Name: | JILL DIANE GARMAN |
NPI Number: | 1497014815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS27950 |
Business Practice Address: | 895 Napa Ave Suite B-6 Morro Bay, CA - 934421944 |
Business Phone Number: | 8057041679 |
Business Fax Number: | |
Mailing Address: | Po Box 319, MORRO BAY |
State: | CA |
Postal Code: | 934430319 |
Phone Number: | 8057041679 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2012 |
NPI Last Update Date: | 05/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCS27950 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |