| |
4140 Oceanside Blvd Suite 159 Number 112 Oceanside CA 92056-6005 | |
(760) 594-1477 | |
(760) 806-4831 |
Full Name | |
---|---|
Speciality | Marriage & Family Therapist |
Location | 4140 Oceanside Blvd, Oceanside, California |
Authorized Official Name and Position | Joseph B Kennedy (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7605941477 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4140 Oceanside Blvd Suite 159 Number 112 Oceanside CA 92056-6005 Ph: (760) 594-1477 | 4140 Oceanside Blvd Suite 159 Number 112 Oceanside CA 92056-6005 Ph: (760) 594-1477 |
NPI Number | 1750525556 |
---|---|
Provider Enumeration Date | 04/23/2009 |
Last Update Date | 04/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750525556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 712 (California) | Primary |
North County Lifeline Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Oceanside Blvd, Oceanside, CA 92054 Phone: 760-757-0118 Fax: 760-757-0196 | |
Katrina Harris Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 Belmont Park Rd, Oceanside, CA 92057 Phone: 949-400-2182 | |
Del Mar Support Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1523 San Mateo St, Oceanside, CA 92058 Phone: 910-378-2501 |