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MARY BIENKOWSKI MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1194942060

Individual Registrant:
 MARY  BIENKOWSKI MFT
Gender: F
Sole Proprietor

Location and contact information for practice:
1318 AVENIDA PELICANOS  OCEANO, CA 93445-9478 US
Tel: 805-440-2397  Fax: --

Contact information for business:
PO BOX 12827  SAN LUIS OBISPO, CA 93406-2827 US
Tel: 805-440-2397  Fax: 805-481-7473

Registration Information:
NPI: 1194942060
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC29454

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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