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2525 Camino Del Rio S Ste 313 San Diego CA 92108-3784 | |
(619) 494-0485 | |
Not Available |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 2525 Camino Del Rio S Ste 313, San Diego, California |
Authorized Official Name and Position | Michael James Garrett (PRESIDENT) |
Authorized Official Contact | 6194940485 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 211871 Chula Vista CA 91921-1871 Ph: (619) 494-0485 | 2525 Camino Del Rio S Ste 313 San Diego CA 92108-3784 Ph: (619) 494-0485 |
NPI Number | 1396410965 |
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Provider Enumeration Date | 08/14/2021 |
Last Update Date | 07/13/2022 |
Certification Date | 07/13/2022 |
Medicare PECOS PAC ID | 6709317753 |
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Medicare Enrollment ID | O20241002000885 |
Identifier | Type | State | Issuer |
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1396410965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Michael James Garrett |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1437399748 PECOS PAC ID: 0042653693 Enrollment ID: I20240210000003 |
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