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Contact Information

BRYAN D GOLSTON
2178 JOHNSON AVE
SAN LUIS OBISPO, CA93401
 Phone: 805-781-4712
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Licensed Psychiatric Technician

167G00000X
Indicates primary specialty

NPI Profile & details for BRYAN D GOLSTON · (Male)

NPI # 1194228379
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2018
Last updated 06/21/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PT40911
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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