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12520 High Bluff Drive Suite 100 San Diego CA 92130 | |
| (858) 792-8316 | |
| (858) 792-8948 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12520 High Bluff Drive, San Diego, California |
| Authorized Official Name and Position | Kristin Maurine Harris (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8582294438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12520 High Bluff Drive Suite 100 San Diego CA 92130 Ph: (858) 792-8316 | 12520 High Bluff Drive Suite 100 San Diego CA 92130 Ph: (858) 792-8316 |
| NPI Number | 1245771260 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245771260 | NPI | - | NPPES |
| 1578139770 | Medicaid | CA |
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