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402 W Broadway Ste 400 San Diego CA 92101-3554 | |
| (866) 478-3978 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 402 W Broadway Ste 400, San Diego, California |
| Authorized Official Name and Position | Daniel J. Costa (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5038147445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1310 Sherwood OR 97140-1310 Ph: (503) 625-0152 | 402 W Broadway Ste 400 San Diego CA 92101-3554 Ph: (866) 478-3978 |
| NPI Number | 1679172290 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 4587012950 |
|---|---|
| Medicare Enrollment ID | O20231122002919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679172290 | NPI | - | NPPES |
| Provider Name | Marc A Campos-ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487715785 PECOS PAC ID: 1355489907 Enrollment ID: I20091119000111 |
| Provider Name | Ross J Quave |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689929697 PECOS PAC ID: 4183876188 Enrollment ID: I20121219000458 |
| Provider Name | Leticia Guillen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194851642 PECOS PAC ID: 6800021569 Enrollment ID: I20131105000907 |
| Provider Name | Laura Lynn Neimark-gizara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932359429 PECOS PAC ID: 5496906802 Enrollment ID: I20150923000651 |
| Provider Name | Sharon D Tanghal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205966421 PECOS PAC ID: 9234430182 Enrollment ID: I20151217001358 |
| Provider Name | Lindsey R Fitch Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780993790 PECOS PAC ID: 2062718562 Enrollment ID: I20160309001966 |
| Provider Name | Carlos Galvan Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023205390 PECOS PAC ID: 9830469428 Enrollment ID: I20170713002926 |
| Provider Name | Nadia Shah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790818276 PECOS PAC ID: 1557620465 Enrollment ID: I20180123002323 |
| Provider Name | Daljit Kaur Sohal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265783906 PECOS PAC ID: 3375806813 Enrollment ID: I20180413001540 |
| Provider Name | Michelle Luz Foy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467575449 PECOS PAC ID: 2668737735 Enrollment ID: I20180521002999 |
| Provider Name | Monique S Montigny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689797326 PECOS PAC ID: 0143306233 Enrollment ID: I20180726003578 |
| Provider Name | Hila Raen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124251723 PECOS PAC ID: 1254679160 Enrollment ID: I20190218002616 |
| Provider Name | Sierra Kristina Rios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942746128 PECOS PAC ID: 7618303173 Enrollment ID: I20200203000269 |
| Provider Name | Cecil W Devers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851536353 PECOS PAC ID: 4385071745 Enrollment ID: I20200224002564 |
| Provider Name | Isaac Marston Ozobiani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184811531 PECOS PAC ID: 5597193342 Enrollment ID: I20200310001833 |
| Provider Name | Marcia O Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811021496 PECOS PAC ID: 3779909882 Enrollment ID: I20200820000439 |
| Provider Name | Esmeralda Alcala Okendo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588278170 PECOS PAC ID: 6709296502 Enrollment ID: I20201106000380 |
| Provider Name | Maria Guadalupe Diana Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417282856 PECOS PAC ID: 7113338179 Enrollment ID: I20201123001919 |
| Provider Name | Latrice Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396147591 PECOS PAC ID: 4587077847 Enrollment ID: I20210105001128 |
| Provider Name | Cecilia Frances Camarena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619247202 PECOS PAC ID: 5496155756 Enrollment ID: I20210609000280 |
| Provider Name | Deborah Fujimoto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851545404 PECOS PAC ID: 6002214228 Enrollment ID: I20211001001346 |
| Provider Name | Danielle Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518391929 PECOS PAC ID: 3072919422 Enrollment ID: I20211028003115 |
| Provider Name | Sarah Ann Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366101255 PECOS PAC ID: 3870985443 Enrollment ID: I20220112001181 |
| Provider Name | Mary Sowah-quaye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841791456 PECOS PAC ID: 4789079526 Enrollment ID: I20220315000628 |
| Provider Name | Brandie L Ajisefinni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376076372 PECOS PAC ID: 0547647380 Enrollment ID: I20220516002756 |
| Provider Name | Alicia Maria Barrs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427107085 PECOS PAC ID: 2163417957 Enrollment ID: I20220606002195 |
| Provider Name | Karie G Peel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093865834 PECOS PAC ID: 3577552918 Enrollment ID: I20220608000618 |
| Provider Name | Amber L Workman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851931018 PECOS PAC ID: 2365821394 Enrollment ID: I20220622002909 |
| Provider Name | Dagoberto Fuentes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902316755 PECOS PAC ID: 3173902095 Enrollment ID: I20220623002978 |
| Provider Name | Cecilia Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417307208 PECOS PAC ID: 4688056872 Enrollment ID: I20220804001600 |
| Provider Name | Charlos Vernell Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114285814 PECOS PAC ID: 8224353602 Enrollment ID: I20221028000525 |
| Provider Name | Maricela Guillen Meza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275985582 PECOS PAC ID: 1850761149 Enrollment ID: I20230103000387 |
| Provider Name | Riba Eshanzada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942753157 PECOS PAC ID: 8325413230 Enrollment ID: I20230406001988 |
| Provider Name | Inhwa Byun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932535168 PECOS PAC ID: 8820459316 Enrollment ID: I20230731003769 |
| Provider Name | Erika Kyte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124803374 PECOS PAC ID: 1254795982 Enrollment ID: I20230914000983 |
| Provider Name | Sally Amaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013270719 PECOS PAC ID: 1456705292 Enrollment ID: I20230927001547 |
| Provider Name | Carl Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811389943 PECOS PAC ID: 6709232382 Enrollment ID: I20231102002612 |
| Provider Name | Maria Vaughn Curameng Teresi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366458697 PECOS PAC ID: 0345690350 Enrollment ID: I20240103000070 |
| Provider Name | Bradley Carow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649645482 PECOS PAC ID: 6103278114 Enrollment ID: I20240116000573 |
| Provider Name | River Navarro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871768358 PECOS PAC ID: 6507219748 Enrollment ID: I20240124002647 |
| Provider Name | Barbara A Keehr |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720400740 PECOS PAC ID: 7719330687 Enrollment ID: I20240126001462 |
| Provider Name | Eunice Fuentes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366000226 PECOS PAC ID: 2062865827 Enrollment ID: I20240129000158 |
| Provider Name | Tanna Jacob |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902350390 PECOS PAC ID: 6608229257 Enrollment ID: I20240130002993 |
| Provider Name | Lluvia J Hetrick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194053116 PECOS PAC ID: 7517300817 Enrollment ID: I20240202002801 |
| Provider Name | Virginia Navarro Beas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871812537 PECOS PAC ID: 9032552153 Enrollment ID: I20240206001929 |
| Provider Name | Leticia Facundo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225493836 PECOS PAC ID: 9931542925 Enrollment ID: I20240207000060 |
| Provider Name | Cynthia S Concepcion |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588797567 PECOS PAC ID: 3274976030 Enrollment ID: I20240208001565 |
| Provider Name | Katheryn Rose Hayward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437766847 PECOS PAC ID: 3678917515 Enrollment ID: I20240219001858 |
| Provider Name | Amy A Allen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366627812 PECOS PAC ID: 2264882521 Enrollment ID: I20240219002398 |
| Provider Name | Stephanie Ruth Duccini |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568894624 PECOS PAC ID: 4082059282 Enrollment ID: I20240227004288 |
| Provider Name | Lorene Attica Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245486596 PECOS PAC ID: 4183069248 Enrollment ID: I20240228001837 |
| Provider Name | Lynn Ane Cook |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457450991 PECOS PAC ID: 7911342951 Enrollment ID: I20240229000465 |
| Provider Name | Alexus Lan Ngo-agard |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497884860 PECOS PAC ID: 0648615674 Enrollment ID: I20240229003506 |
| Provider Name | Sara De Herrera |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578244570 PECOS PAC ID: 7810332848 Enrollment ID: I20240229003537 |
| Provider Name | Alberta Kaichian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790422442 PECOS PAC ID: 9335584168 Enrollment ID: I20240301003054 |
| Provider Name | Chad Andrew Gunville |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447422241 PECOS PAC ID: 1456796291 Enrollment ID: I20240301003371 |
| Provider Name | Judy Carroll Riley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558919647 PECOS PAC ID: 3274978077 Enrollment ID: I20240304000658 |
| Provider Name | Elisha Galaif |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932863206 PECOS PAC ID: 0749625556 Enrollment ID: I20240304000923 |
| Provider Name | Kara Jj Silver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346338969 PECOS PAC ID: 1355786062 Enrollment ID: I20240304001051 |
| Provider Name | Alyssa Zurowski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033680335 PECOS PAC ID: 3375988082 Enrollment ID: I20240304001359 |
| Provider Name | Saema Rahmany |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427441922 PECOS PAC ID: 3577908235 Enrollment ID: I20240304002841 |
| Provider Name | Lorriane Ichiyasu |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689199879 PECOS PAC ID: 4284079815 Enrollment ID: I20240305001554 |
| Provider Name | Rachel M Freemon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710027404 PECOS PAC ID: 9133564784 Enrollment ID: I20240305002547 |
| Provider Name | Gloriann P Connor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073799086 PECOS PAC ID: 4385080951 Enrollment ID: I20240306002430 |
| Provider Name | Erika Carter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457812935 PECOS PAC ID: 7618313123 Enrollment ID: I20240306004004 |
| Provider Name | Abigail F Torcedo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184145708 PECOS PAC ID: 1355787870 Enrollment ID: I20240306004404 |
| Provider Name | Jennifer Dalponte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508509316 PECOS PAC ID: 4082050497 Enrollment ID: I20240307003133 |
| Provider Name | Gabriela Ruiz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275040495 PECOS PAC ID: 7618313057 Enrollment ID: I20240307004343 |
| Provider Name | Helena Elaine Mercy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295761682 PECOS PAC ID: 3274568316 Enrollment ID: I20240308002165 |
| Provider Name | Vladimir Rednikov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487036182 PECOS PAC ID: 5991141137 Enrollment ID: I20240311003259 |
| Provider Name | Melissa Cherie Sanders |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497381743 PECOS PAC ID: 7113063041 Enrollment ID: I20240311004193 |
| Provider Name | Daphne Carrie Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023894805 PECOS PAC ID: 9537505649 Enrollment ID: I20240312001814 |
| Provider Name | Adolph Thomas Delgado |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194034959 PECOS PAC ID: 4284070301 Enrollment ID: I20240312002206 |
| Provider Name | Angel Jose Vargas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134538465 PECOS PAC ID: 7113363177 Enrollment ID: I20240312004243 |
| Provider Name | Kimberly A Knight-ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750946364 PECOS PAC ID: 9032555024 Enrollment ID: I20240313000630 |
| Provider Name | Miranda Leanne Hernandez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548781917 PECOS PAC ID: 8527404532 Enrollment ID: I20240313001688 |
| Provider Name | Jessica Lynne Taylor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093267361 PECOS PAC ID: 6800232810 Enrollment ID: I20240313001695 |
| Provider Name | Danielle Vera |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932847688 PECOS PAC ID: 0648616573 Enrollment ID: I20240313002801 |
| Provider Name | Roksana Sarrafan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750812574 PECOS PAC ID: 8325484108 Enrollment ID: I20240314004031 |
| Provider Name | Gabrielle N Kubulan-simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780164061 PECOS PAC ID: 3476999251 Enrollment ID: I20240314004242 |
| Provider Name | Brianna K Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003101098 PECOS PAC ID: 2466898242 Enrollment ID: I20240314004298 |
| Provider Name | Mireya Elizabeth Brocatto-keck |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396056487 PECOS PAC ID: 9335586056 Enrollment ID: I20240318001355 |
| Provider Name | Tonia Kim Tse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417086273 PECOS PAC ID: 5193162840 Enrollment ID: I20240318002359 |
| Provider Name | Veronica Vasconcelos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184002693 PECOS PAC ID: 2466899083 Enrollment ID: I20240319001264 |
| Provider Name | Mary O'hern |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215477609 PECOS PAC ID: 1850738477 Enrollment ID: I20240319001448 |
| Provider Name | Hugo Sibrian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801212188 PECOS PAC ID: 2163869736 Enrollment ID: I20240319003016 |
| Provider Name | Heather Allison Barbatsis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316401045 PECOS PAC ID: 8426495912 Enrollment ID: I20240319004257 |
| Provider Name | Colleen Bressie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801260872 PECOS PAC ID: 9335586833 Enrollment ID: I20240320000341 |
| Provider Name | Nancy Uribe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265872360 PECOS PAC ID: 4183061633 Enrollment ID: I20240320002305 |
| Provider Name | Esau Joel Valdez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326225376 PECOS PAC ID: 5294172623 Enrollment ID: I20240321001284 |
| Provider Name | Tina Deirmendjian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659686772 PECOS PAC ID: 4688011935 Enrollment ID: I20240321002456 |
| Provider Name | Natalie Wolfinger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912468398 PECOS PAC ID: 5496192742 Enrollment ID: I20240321002508 |
| Provider Name | Megan I Chaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801114434 PECOS PAC ID: 4587001870 Enrollment ID: I20240321004213 |
| Provider Name | Eric Paul Ochoa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700288008 PECOS PAC ID: 3870930191 Enrollment ID: I20240322000671 |
| Provider Name | Sara Jolayne Weber |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891856381 PECOS PAC ID: 0244677573 Enrollment ID: I20240322001068 |
| Provider Name | Douye D Youduba-tantua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043665003 PECOS PAC ID: 2769829902 Enrollment ID: I20240322002483 |
| Provider Name | Blanca Susanna Ozuna Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275078461 PECOS PAC ID: 4981041142 Enrollment ID: I20240322003097 |
| Provider Name | Tara Sohrabpartovi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528596996 PECOS PAC ID: 8729425947 Enrollment ID: I20240325000566 |
| Provider Name | Gemma Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548743107 PECOS PAC ID: 1759728827 Enrollment ID: I20240325002598 |
| Provider Name | Jennifer Aileen Mahoney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023176583 PECOS PAC ID: 1254778285 Enrollment ID: I20240326001210 |
| Provider Name | Samuel Zachary Lange |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730646894 PECOS PAC ID: 6608213699 Enrollment ID: I20240326003621 |
| Provider Name | Marina Alejandra Villanueva |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942779863 PECOS PAC ID: 7517304421 Enrollment ID: I20240326004462 |
| Provider Name | Laura Elizabeth Robbins Rios |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013386580 PECOS PAC ID: 6608213566 Enrollment ID: I20240327002022 |
| Provider Name | Bradford Lee Durian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861601148 PECOS PAC ID: 7911344890 Enrollment ID: I20240327002703 |
| Provider Name | Makaylah Cheung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639342165 PECOS PAC ID: 7618314592 Enrollment ID: I20240327002833 |
| Provider Name | Fatima Clara Garnica |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265775282 PECOS PAC ID: 4688011570 Enrollment ID: I20240327003027 |
| Provider Name | Pamela Williams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730423914 PECOS PAC ID: 4082051982 Enrollment ID: I20240327003625 |
| Provider Name | Limor B Rosenthal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992245948 PECOS PAC ID: 0547607392 Enrollment ID: I20240328001519 |
| Provider Name | Cassidy Phuong Pham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982185484 PECOS PAC ID: 4981042777 Enrollment ID: I20240328003235 |
| Provider Name | David J Argueta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013418961 PECOS PAC ID: 1557709342 Enrollment ID: I20240328003528 |
| Provider Name | Trisha Rama Patel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578892436 PECOS PAC ID: 6901244755 Enrollment ID: I20240329001729 |
| Provider Name | Dyan Mary Adinamis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134714744 PECOS PAC ID: 7517305386 Enrollment ID: I20240329002247 |
| Provider Name | Nicole Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144724311 PECOS PAC ID: 6406294123 Enrollment ID: I20240401001738 |
| Provider Name | Ashley Elizabeth Zanone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801489836 PECOS PAC ID: 7315385051 Enrollment ID: I20240401002149 |
| Provider Name | Christine Rollins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326446816 PECOS PAC ID: 3779921259 Enrollment ID: I20240403000591 |
| Provider Name | Melinda Diane Rose |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275063000 PECOS PAC ID: 8921446287 Enrollment ID: I20240404003955 |
| Provider Name | Vaheed Siadat |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962533950 PECOS PAC ID: 0749628055 Enrollment ID: I20240405001323 |
| Provider Name | Sarine Boyadjian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992985154 PECOS PAC ID: 3375981681 Enrollment ID: I20240405001389 |
| Provider Name | Alexandria Suarez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942600622 PECOS PAC ID: 4082052303 Enrollment ID: I20240405001875 |
| Provider Name | Iliana Guadalupe Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093202038 PECOS PAC ID: 4981042215 Enrollment ID: I20240405001933 |
| Provider Name | Angela Parry |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639691405 PECOS PAC ID: 6709224033 Enrollment ID: I20240405001935 |
| Provider Name | Eric Thomas Howell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417084369 PECOS PAC ID: 6507204757 Enrollment ID: I20240405003277 |
| Provider Name | Kristen Tanji |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679191753 PECOS PAC ID: 0345688545 Enrollment ID: I20240408001586 |
| Provider Name | Tory Campbell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376013748 PECOS PAC ID: 9638517840 Enrollment ID: I20240408001862 |
| Provider Name | Yvette Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609015882 PECOS PAC ID: 0547608754 Enrollment ID: I20240408001866 |
| Provider Name | Francesca Rafaela Battaglia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245801463 PECOS PAC ID: 8921446048 Enrollment ID: I20240409000498 |
| Provider Name | Edith Larios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336904515 PECOS PAC ID: 5991143042 Enrollment ID: I20240409001260 |
| Provider Name | Patricia Marraine Martin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508344714 PECOS PAC ID: 9032557194 Enrollment ID: I20240409001790 |
| Provider Name | Kazaran Gayla Barkawi-buck |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790702694 PECOS PAC ID: 7012355191 Enrollment ID: I20240409002187 |
| Provider Name | Kaitlin Oshu Kwon Fuller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922306802 PECOS PAC ID: 2567800642 Enrollment ID: I20240409002193 |
| Provider Name | Mary C Newman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649476250 PECOS PAC ID: 2466890405 Enrollment ID: I20240409004536 |
| Provider Name | Viviana Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639410020 PECOS PAC ID: 1456799493 Enrollment ID: I20240409004569 |
| Provider Name | Ashley Elaine Ellis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568713659 PECOS PAC ID: 9335587377 Enrollment ID: I20240409004694 |
| Provider Name | Mariam Pandes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558490631 PECOS PAC ID: 8325486301 Enrollment ID: I20240410000779 |
| Provider Name | Amy M Childers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871828038 PECOS PAC ID: 1951749951 Enrollment ID: I20240410001579 |
| Provider Name | Callie Mckenzie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376950055 PECOS PAC ID: 8426496332 Enrollment ID: I20240410002270 |
| Provider Name | Kawanna Gritney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235269184 PECOS PAC ID: 6608215512 Enrollment ID: I20240411002142 |
| Provider Name | Maria Cristina Bartlett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609332618 PECOS PAC ID: 3173962859 Enrollment ID: I20240415000340 |
| Provider Name | Celia Evelyn Grail |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609149624 PECOS PAC ID: 0143669796 Enrollment ID: I20240416002887 |
| Provider Name | Shauna Adhesha Singh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083089015 PECOS PAC ID: 7517306079 Enrollment ID: I20240416003630 |
| Provider Name | Jacqueline Michelle Rojas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649755901 PECOS PAC ID: 6406295922 Enrollment ID: I20240417001324 |
| Provider Name | Taylor Whitney Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992187355 PECOS PAC ID: 7517306970 Enrollment ID: I20240417003633 |
| Provider Name | Lindsey Cavin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821330408 PECOS PAC ID: 1052750437 Enrollment ID: I20240418000403 |
| Provider Name | Angel Butler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346626108 PECOS PAC ID: 4789023037 Enrollment ID: I20240418003449 |
| Provider Name | Adam Marlo Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376675116 PECOS PAC ID: 1557700770 Enrollment ID: I20240419001970 |
| Provider Name | Jacqueline J Saenz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033445721 PECOS PAC ID: 2365881448 Enrollment ID: I20240423000760 |
| Provider Name | Carla Francine Tilley-barker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093015786 PECOS PAC ID: 9830538834 Enrollment ID: I20240423002044 |
| Provider Name | Mayra Sotelo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043488919 PECOS PAC ID: 8527407568 Enrollment ID: I20240423003417 |
| Provider Name | Vanessa Cordero |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821757485 PECOS PAC ID: 6305285347 Enrollment ID: I20240423003696 |
| Provider Name | Vaneza Xtzel Villagomez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659702454 PECOS PAC ID: 8325488208 Enrollment ID: I20240425000794 |
| Provider Name | Christina Nachita Lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669903274 PECOS PAC ID: 7517307408 Enrollment ID: I20240425001121 |
| Provider Name | Amber Solorzano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508211095 PECOS PAC ID: 1456791375 Enrollment ID: I20240425002257 |
| Provider Name | Luisa Lancaster |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346656550 PECOS PAC ID: 1355781287 Enrollment ID: I20240425002793 |
| Provider Name | Asha Yaasmeen Howard-waller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225783079 PECOS PAC ID: 7012357825 Enrollment ID: I20240426001944 |
| Provider Name | Vicky Jo Sorensen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194910612 PECOS PAC ID: 8628418456 Enrollment ID: I20240426002744 |
| Provider Name | Leidy Hernandez Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841961836 PECOS PAC ID: 0345680179 Enrollment ID: I20240426002784 |
| Provider Name | Kimberly Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306194543 PECOS PAC ID: 3971943705 Enrollment ID: I20240426002806 |
| Provider Name | Melissa Valerie Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770625345 PECOS PAC ID: 3072953777 Enrollment ID: I20240429001714 |
| Provider Name | Kellie Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285745745 PECOS PAC ID: 7911347554 Enrollment ID: I20240430003692 |
| Provider Name | Amber Jean Roper |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982032660 PECOS PAC ID: 4789024274 Enrollment ID: I20240501001718 |
| Provider Name | Jacinta Lucia Lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588981823 PECOS PAC ID: 0941640387 Enrollment ID: I20240501003845 |
| Provider Name | Annie Marie Merkel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487811345 PECOS PAC ID: 2466892872 Enrollment ID: I20240502001943 |
| Provider Name | Keith Mcgowen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659789071 PECOS PAC ID: 6709226129 Enrollment ID: I20240502002126 |
| Provider Name | Junise Jean-gilles Dorestin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467670455 PECOS PAC ID: 1153761408 Enrollment ID: I20240502003925 |
| Provider Name | Sunisa Takemoto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124152145 PECOS PAC ID: 8921448291 Enrollment ID: I20240503000373 |
| Provider Name | Elizabeth Brenum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295089902 PECOS PAC ID: 6507206877 Enrollment ID: I20240503000582 |
| Provider Name | Annalisa Barnett Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649618372 PECOS PAC ID: 1759721053 Enrollment ID: I20240503001422 |
| Provider Name | Cylystina Marie Nevel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740731835 PECOS PAC ID: 5698116705 Enrollment ID: I20240507002571 |
| Provider Name | Christie Barboza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639521602 PECOS PAC ID: 0446691422 Enrollment ID: I20240508000637 |
| Provider Name | Sarah Peklo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780051441 PECOS PAC ID: 0042651028 Enrollment ID: I20240508000728 |
| Provider Name | Victor Hernandez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396889846 PECOS PAC ID: 3173964160 Enrollment ID: I20240508001004 |
| Provider Name | Jessica Hinojosa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780046482 PECOS PAC ID: 7113368135 Enrollment ID: I20240508002154 |
| Provider Name | Tinelle Renee Evans Reno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760884209 PECOS PAC ID: 4486095031 Enrollment ID: I20240514000763 |
| Provider Name | Teri Ashley Dunbar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720677180 PECOS PAC ID: 7315388972 Enrollment ID: I20240514001035 |
| Provider Name | Janice Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669744272 PECOS PAC ID: 1052752623 Enrollment ID: I20240514001412 |
| Provider Name | Sterling Funk |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427467315 PECOS PAC ID: 8325489875 Enrollment ID: I20240515000390 |
| Provider Name | Katy Caslav |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508351800 PECOS PAC ID: 8729429212 Enrollment ID: I20240515001816 |
| Provider Name | Behnoush Khafajizadeh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497230767 PECOS PAC ID: 7719328202 Enrollment ID: I20240515001845 |
| Provider Name | Michelle E Malott |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154819894 PECOS PAC ID: 0941641377 Enrollment ID: I20240515003872 |
| Provider Name | Alma Delia Gonzalez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184245557 PECOS PAC ID: 3577904978 Enrollment ID: I20240516001845 |
| Provider Name | Adriana Rivera |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518409820 PECOS PAC ID: 9335580646 Enrollment ID: I20240516002486 |
| Provider Name | Juliana Bustillos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639487457 PECOS PAC ID: 6204277551 Enrollment ID: I20240516004075 |
| Provider Name | Crystal Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265926182 PECOS PAC ID: 0244671477 Enrollment ID: I20240517003356 |
| Provider Name | Melanie Dawn Mckinney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124210943 PECOS PAC ID: 5991146151 Enrollment ID: I20240518000670 |
| Provider Name | Sarah Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306358569 PECOS PAC ID: 7719329911 Enrollment ID: I20240520001703 |
| Provider Name | Brooke Nichole Stewart-hardin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659632636 PECOS PAC ID: 3678915873 Enrollment ID: I20240520001921 |
| Provider Name | Lara Michelle Taylor Kester |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790037927 PECOS PAC ID: 5799127858 Enrollment ID: I20240521004348 |
| Provider Name | Ian Taylor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548705262 PECOS PAC ID: 1355787680 Enrollment ID: I20240522000991 |
| Provider Name | Barrett Eng |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447620562 PECOS PAC ID: 5597107573 Enrollment ID: I20240522001115 |
| Provider Name | Lincoya Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700055118 PECOS PAC ID: 5496196859 Enrollment ID: I20240522003088 |
| Provider Name | Amanda Marie Yetter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033486188 PECOS PAC ID: 2163864109 Enrollment ID: I20240522003537 |
| Provider Name | Bijan Madjlessi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760955397 PECOS PAC ID: 8123460938 Enrollment ID: I20240524001586 |
| Provider Name | Amy Lea Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639348097 PECOS PAC ID: 6709228539 Enrollment ID: I20240524002607 |
| Provider Name | Mercedes Canizalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356856827 PECOS PAC ID: 3971945619 Enrollment ID: I20240524003096 |
| Provider Name | Stephanie Rimer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164874012 PECOS PAC ID: 7315389095 Enrollment ID: I20240527000459 |
| Provider Name | Meg Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669653374 PECOS PAC ID: 9234571878 Enrollment ID: I20240528001974 |
| Provider Name | Shawana L Farley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245783273 PECOS PAC ID: 2961844345 Enrollment ID: I20240530002966 |
| Provider Name | Urim Audrey Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255855896 PECOS PAC ID: 5496197725 Enrollment ID: I20240531001275 |
| Provider Name | Lacey Marie Morris |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972078855 PECOS PAC ID: 5698217933 Enrollment ID: I20240603001215 |
| Provider Name | Kenny Brian Gallegos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477124337 PECOS PAC ID: 9739621012 Enrollment ID: I20240603002812 |
| Provider Name | Tasha D Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396879615 PECOS PAC ID: 6507308491 Enrollment ID: I20240606002922 |
| Provider Name | Kimberly Concepcion-higgins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851865901 PECOS PAC ID: 6608318407 Enrollment ID: I20240607002957 |
| Provider Name | Phyu Thet Zyn Htut |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679061170 PECOS PAC ID: 0648712455 Enrollment ID: I20240607003175 |
| Provider Name | Sandra Rubalcava |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346806478 PECOS PAC ID: 2062954613 Enrollment ID: I20240611001044 |
| Provider Name | Reina Elaine Peterson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053829473 PECOS PAC ID: 5597207084 Enrollment ID: I20240612001811 |
| Provider Name | Michelle Huber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659512069 PECOS PAC ID: 6901348309 Enrollment ID: I20240612002738 |
| Provider Name | Geng Han |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467768341 PECOS PAC ID: 8325581572 Enrollment ID: I20240617002374 |
| Provider Name | April Lynn Silva |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336574276 PECOS PAC ID: 5395288559 Enrollment ID: I20240617002922 |
| Provider Name | Kathaleen R Reagan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306367032 PECOS PAC ID: 9234672312 Enrollment ID: I20240617003957 |
| Provider Name | Felicia Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235910530 PECOS PAC ID: 0042754475 Enrollment ID: I20240626004187 |
| Provider Name | Kara Jeannine Melgarejo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740519289 PECOS PAC ID: 6406390715 Enrollment ID: I20240627002569 |
| Provider Name | Elissa Marie Padilla |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386311587 PECOS PAC ID: 3375087505 Enrollment ID: I20240628002551 |
| Provider Name | Tiffany Vivian Le |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659071553 PECOS PAC ID: 8325582356 Enrollment ID: I20240702001061 |
| Provider Name | Kristin Danielle Huneau |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447812896 PECOS PAC ID: 3577007509 Enrollment ID: I20240702001194 |
| Provider Name | Leslie Dempsey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568081586 PECOS PAC ID: 7416491303 Enrollment ID: I20240702004024 |
| Provider Name | Gayleah Michell Richmond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982125696 PECOS PAC ID: 8820532443 Enrollment ID: I20240705003084 |
| Provider Name | Janena Ciancio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912662578 PECOS PAC ID: 3375088909 Enrollment ID: I20240708003451 |
| Provider Name | Angelica Cristina Dominguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407374614 PECOS PAC ID: 4486199932 Enrollment ID: I20240709003749 |
| Provider Name | Wendy O'connor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023149168 PECOS PAC ID: 8123563525 Enrollment ID: I20240710001219 |
| Provider Name | Nikkia Monique Brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487117933 PECOS PAC ID: 3870038201 Enrollment ID: I20240710002675 |
| Provider Name | Katherine Rose Phillips Maurizi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790814119 PECOS PAC ID: 3476098674 Enrollment ID: I20240711003939 |
| Provider Name | Renee Ortiz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689019432 PECOS PAC ID: 4688110554 Enrollment ID: I20240726003529 |
| Provider Name | Elizabeth Ann Scheurn Brekke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124749544 PECOS PAC ID: 1052858164 Enrollment ID: I20240807002481 |
| Provider Name | Bee Yu Yung |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689074528 PECOS PAC ID: 9335687250 Enrollment ID: I20240809002736 |
| Provider Name | Kelly Ann Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003567553 PECOS PAC ID: 0446798383 Enrollment ID: I20240809003563 |
| Provider Name | Bhavita Patel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811205644 PECOS PAC ID: 0749728699 Enrollment ID: I20240809003962 |
| Provider Name | Erike Apolinar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245636562 PECOS PAC ID: 2860930419 Enrollment ID: I20240814003718 |
| Provider Name | Denzel Sumlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508111436 PECOS PAC ID: 7810435344 Enrollment ID: I20240815002120 |
| Provider Name | Tahira Brathwaite Mitchell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982031282 PECOS PAC ID: 2365980620 Enrollment ID: I20240816003884 |
| Provider Name | Wilfredo Ryan Guzon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932873726 PECOS PAC ID: 4880132067 Enrollment ID: I20240819004259 |
| Provider Name | Ritika Kaur |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083987655 PECOS PAC ID: 2567900632 Enrollment ID: I20240820003611 |
| Provider Name | Joytishna Nandani Nandan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699219501 PECOS PAC ID: 0244778298 Enrollment ID: I20240821002683 |
| Provider Name | Cynthia Araceli Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790268035 PECOS PAC ID: 7810436862 Enrollment ID: I20240822001830 |
| Provider Name | Emmanuel Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124790118 PECOS PAC ID: 2365981230 Enrollment ID: I20240823002393 |
| Provider Name | Brandee Elizabeth Herrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013526938 PECOS PAC ID: 8022557735 Enrollment ID: I20240826003974 |
| Provider Name | Kayla M Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508347543 PECOS PAC ID: 6406395938 Enrollment ID: I20240828004483 |
| Provider Name | Maresa King |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841695459 PECOS PAC ID: 8022429075 Enrollment ID: I20240829003539 |
| Provider Name | Jennifer Dolores Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306130257 PECOS PAC ID: 2264971332 Enrollment ID: I20240903003869 |
| Provider Name | Ivy Alindogan Zamora |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912143942 PECOS PAC ID: 2163962242 Enrollment ID: I20240904004259 |
| Provider Name | Marisol Elizarraras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053647453 PECOS PAC ID: 1850757808 Enrollment ID: I20240906003645 |
| Provider Name | Kimberly L Matroni |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578250742 PECOS PAC ID: 7911341458 Enrollment ID: I20240911001463 |
| Provider Name | Miranda R Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235769100 PECOS PAC ID: 3173063542 Enrollment ID: I20240912000090 |
| Provider Name | Amanda Elizondo-fessler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083278220 PECOS PAC ID: 8729529946 Enrollment ID: I20240916001024 |
| Provider Name | Patricia Schuyler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356452510 PECOS PAC ID: 8325589575 Enrollment ID: I20240916002470 |
| Provider Name | Erika Carmen Camez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376702860 PECOS PAC ID: 5193266013 Enrollment ID: I20240919000441 |
| Provider Name | Devon Elise Pytel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700454014 PECOS PAC ID: 1658802905 Enrollment ID: I20240927001020 |
| Provider Name | Deborah Auran |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285392621 PECOS PAC ID: 8820529837 Enrollment ID: I20241001004165 |
| Provider Name | Tamara Ridge |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801963467 PECOS PAC ID: 1951832732 Enrollment ID: I20241003002826 |
| Provider Name | Marshall Buckley Fryman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366081895 PECOS PAC ID: 2062943731 Enrollment ID: I20241004002446 |
| Provider Name | Luisa F Acosta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013115815 PECOS PAC ID: 9830620319 Enrollment ID: I20241008003367 |
| Provider Name | Sierra Lynn Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083267314 PECOS PAC ID: 7719419134 Enrollment ID: I20241010000640 |
| Provider Name | Mette Ostergaard Madsen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366716920 PECOS PAC ID: 0749712115 Enrollment ID: I20241010002743 |
| Provider Name | Amanda Ashoor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407364920 PECOS PAC ID: 5597297770 Enrollment ID: I20241011003996 |
| Provider Name | Kristin Hernandez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669906616 PECOS PAC ID: 9830621069 Enrollment ID: I20241014001364 |
| Provider Name | Mary Ann Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407332901 PECOS PAC ID: 5799217873 Enrollment ID: I20241014003814 |
| Provider Name | Roberto Solorio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972088185 PECOS PAC ID: 8022540939 Enrollment ID: I20241016004751 |
| Provider Name | Kathryn Louise Holguin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588058333 PECOS PAC ID: 8123551207 Enrollment ID: I20241028003208 |
| Provider Name | Alicia Koppy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407191018 PECOS PAC ID: 1557894326 Enrollment ID: I20241031003142 |
| Provider Name | Leah M Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417421207 PECOS PAC ID: 4385177054 Enrollment ID: I20241101003501 |
| Provider Name | Carla Veronica Jenkins-pratt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902244007 PECOS PAC ID: 3173056710 Enrollment ID: I20241104002687 |
| Provider Name | Rachel E Haynes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760703565 PECOS PAC ID: 5991238545 Enrollment ID: I20241104003136 |
| Provider Name | Jessica Marie Hope Gomez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013785518 PECOS PAC ID: 7315470986 Enrollment ID: I20241104003747 |
| Provider Name | Sara Hurani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659106334 PECOS PAC ID: 0941734354 Enrollment ID: I20241107002703 |
| Provider Name | Jordan Elizabeth Dale Ireland |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063910156 PECOS PAC ID: 7416481783 Enrollment ID: I20241108001159 |
| Provider Name | Savannah Rose Malerstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972189025 PECOS PAC ID: 7719411925 Enrollment ID: I20241111003264 |
| Provider Name | Alexandro Garcia Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861897670 PECOS PAC ID: 8628502473 Enrollment ID: I20241115001258 |
| Provider Name | Vianey Vazquez-guerrero |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770250938 PECOS PAC ID: 8921532706 Enrollment ID: I20241115002528 |
| Provider Name | Kadrea Forte |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871031542 PECOS PAC ID: 2860927589 Enrollment ID: I20241119000315 |
| Provider Name | Brandey Pallares Herrera |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871035287 PECOS PAC ID: 6406381177 Enrollment ID: I20241119002041 |
| Provider Name | Elizabeth Vazquez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124673017 PECOS PAC ID: 5991230435 Enrollment ID: I20241121000959 |
| Provider Name | Raeesha M Barnes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457941445 PECOS PAC ID: 8527593714 Enrollment ID: I20241125003008 |
| Provider Name | Michele Merlob |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720694953 PECOS PAC ID: 4183159296 Enrollment ID: I20241126004324 |
| Provider Name | Dijana Fiorentino |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912286915 PECOS PAC ID: 7214462258 Enrollment ID: I20241127001237 |
| Provider Name | Cathlene A Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083188148 PECOS PAC ID: 5597290502 Enrollment ID: I20241127004305 |
| Provider Name | Noralyn Mariano Jackson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598170334 PECOS PAC ID: 2860927670 Enrollment ID: I20241202003790 |
| Provider Name | Victoria Elena Lane |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982197505 PECOS PAC ID: 6204275977 Enrollment ID: I20241203001290 |
| Provider Name | Dannesse Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396137576 PECOS PAC ID: 8729514419 Enrollment ID: I20241204003160 |
| Provider Name | Valderene Da Paixao Passos Waian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598126856 PECOS PAC ID: 6103352893 Enrollment ID: I20241204003598 |
| Provider Name | Jessica Gutierrez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932567062 PECOS PAC ID: 7618403346 Enrollment ID: I20241205000452 |
| Provider Name | Alexis Deanna Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841852332 PECOS PAC ID: 0244766970 Enrollment ID: I20241205000492 |
| Provider Name | Elisabeth Farnsworth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689710105 PECOS PAC ID: 6901332584 Enrollment ID: I20241205002562 |
| Provider Name | Erin Michele Franco |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861031296 PECOS PAC ID: 5193251700 Enrollment ID: I20241205003790 |
| Provider Name | Romulus Chelbegean |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265933956 PECOS PAC ID: 9133655665 Enrollment ID: I20241208000130 |
| Provider Name | Dominique Therese Maccurtin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669524179 PECOS PAC ID: 2264968254 Enrollment ID: I20241213003010 |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 |