| Diaspora Therapy Group | |
|
5938 Priestly Dr Ste 103 Carlsbad CA 92008-8847 | |
| (858) 771-4387 | |
| Not Available |
| Full Name | Diaspora Therapy Group |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5938 Priestly Dr Ste 103, Carlsbad, California |
| Authorized Official Name and Position | Kiley Dunne Lizama (OWNER) |
| Authorized Official Contact | 6198411044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diaspora Therapy Group 5938 Priestly Dr Ste 103 Carlsbad CA 92008-8847 Ph: (858) 771-4387 | Diaspora Therapy Group 5938 Priestly Dr Ste 103 Carlsbad CA 92008-8847 Ph: (858) 771-4387 |
| NPI Number | 1528630373 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528630373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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