Douglas Baker Marriage And Family Therapy, Inc. | |
4025 Camino Del Rio S # 329 San Diego CA 92108-4107 | |
(619) 261-9269 | |
(619) 618-0688 |
Full Name | Douglas Baker Marriage And Family Therapy, Inc. |
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Speciality | Counselor |
Location | 4025 Camino Del Rio S # 329, San Diego, California |
Authorized Official Name and Position | Douglas J Baker (PRESIDENT) |
Authorized Official Contact | 6192619269 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Douglas Baker Marriage And Family Therapy, Inc. 4642 1/2 E Mountain View Dr San Diego CA 92116-3713 Ph: (619) 261-9269 | Douglas Baker Marriage And Family Therapy, Inc. 4025 Camino Del Rio S # 329 San Diego CA 92108-4107 Ph: (619) 261-9269 |
NPI Number | 1972131589 |
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Provider Enumeration Date | 03/30/2020 |
Last Update Date | 09/24/2024 |
Certification Date | 09/24/2024 |
Medicare PECOS PAC ID | 5991113193 |
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Medicare Enrollment ID | O20210427001742 |
Identifier | Type | State | Issuer |
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1972131589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Kathy Parks |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114048824 PECOS PAC ID: 9739598400 Enrollment ID: I20210510001161 |
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