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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Mental Health Counselor · SAN DIEGO, CA

Registration Details

NPI Number
1063178986
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2021 (4.442698399508 yrs)
Last Updated
Nov 15, 2021

Practice Information

Address
1260 MORENA BLVD STE 200
SAN DIEGO, CA, 921103850
Browse CA providers · Browse ZIP 92110
Phone
6193983261
Fax
6192752023
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in SAN DIEGO, CA

Name Credential NPI
MR. JAMES MASON MA MFT 1508850058
CHARLENE K REDNER MFT INTERN 1811971781
MRS. SHIRLEY J SISKOWIC PH.D. 1912981879
MILDRED S TROLINGER LCSW 1912978032
RICHARD PATRICK KEENAN CLINICAL SOCIAL WORK 1134191190
LORETTA MARIE LOWERY LCSW 1679523922
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.