| Carrie Poulson Expressive Art Therapies | |
|
9740 Nutby Drive Escondido CA 92026 | |
| (858) 216-5633 | |
| Not Available |
| Full Name | Carrie Poulson Expressive Art Therapies |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9740 Nutby Drive, Escondido, California |
| Authorized Official Name and Position | Carrie L Poulson (OWNER) |
| Authorized Official Contact | 8582165633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Poulson Expressive Art Therapies 403 N Escondido Blvd Unit 1225 Escondido CA 92033-7050 Ph: (858) 216-5633 | Carrie Poulson Expressive Art Therapies 9740 Nutby Drive Escondido CA 92026 Ph: (858) 216-5633 |
| NPI Number | 1730890963 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 12/08/2022 |
| Certification Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730890963 | NPI | - | NPPES |
| 99742 | Other | CA | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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