| Canvas Of Possibilities Psychological Services Inc. | |
|
3033 Fifth Ave Ste 230 San Diego CA 92103-5873 | |
| (858) 805-5302 | |
| Not Available |
| Full Name | Canvas Of Possibilities Psychological Services Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3033 Fifth Ave Ste 230, San Diego, California |
| Authorized Official Name and Position | Mariya Nikolayevna Kholodova (CEO) |
| Authorized Official Contact | 8588055302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canvas Of Possibilities Psychological Services Inc. 3033 Fifth Ave Ste 230 San Diego CA 92103-5873 Ph: (858) 805-5302 | Canvas Of Possibilities Psychological Services Inc. 3033 Fifth Ave Ste 230 San Diego CA 92103-5873 Ph: (858) 805-5302 |
| NPI Number | 1003560632 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 02/11/2022 |
| Certification Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003560632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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