Geredes, Mardi A.

Geredes, Mardi A. is an individual health care provider with primary practice located at 2945 Mcmillan Ave Ste. 136, San Luis Obispo CA 93401-6766. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Geredes, Mardi A. can be contacted via phone (805) 781-1433.

Contact Information

Primary practice address
2945 Mcmillan Ave Ste. 136 San Luis Obispo CA 93401-6766
Phone: (805) 781-1433
Fax: (805) 781-1267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RW0886 California

Profile Details

NPI number 1194931014
LBN Legal business name Geredes, Mardi A.
Credentials MA, RRW
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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