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3737 Camino Del Rio S 205 San Diego CA 92108-4006 | |
| (619) 933-9931 | |
| (619) 516-3590 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3737 Camino Del Rio S, San Diego, California |
| Authorized Official Name and Position | Shawna R Bethel (OWNER/CLINICIAN) |
| Authorized Official Contact | 6199339931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3737 Camino Del Rio South Suite 205 San Diego CA 92108-4008 Ph: (619) 933-9931 | 3737 Camino Del Rio S 205 San Diego CA 92108-4006 Ph: (619) 933-9931 |
| NPI Number | 1356705222 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 04/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356705222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 48619 (California) | Primary |
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