Kassandra Boortz, LMFT #105335 Valid NPI
Individual provider · Marriage & Family Therapist · Nipomo, CA
- NPI
- 1407233869
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 105335 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2015-05-05
- Last updated
- 2023-02-17
Practice location
881 Primrose Ln
Nipomo, CA 93444-5410
(805) 888-1732