| Aces Mh Services Pc | |
|
3684 4th Ave Apt 1 San Diego CA 92103-4176 | |
| (855) 223-7123 | |
| (619) 374-7134 |
| Full Name | Aces Mh Services Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3684 4th Ave Apt 1, San Diego, California |
| Authorized Official Name and Position | Luke Jana (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 8552237123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aces Mh Services Pc 3684 4th Ave Apt 1 San Diego CA 92103-4176 Ph: (855) 223-7123 | Aces Mh Services Pc 3684 4th Ave Apt 1 San Diego CA 92103-4176 Ph: (855) 223-7123 |
| NPI Number | 1871237370 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 04/21/2022 |
| Certification Date | 04/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871237370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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