| Groundswell Clinic Inc | |
|
1220 Rosecrans St San Diego CA 92106-2674 | |
| (310) 749-6289 | |
| Not Available |
| Full Name | Groundswell Clinic Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1220 Rosecrans St, San Diego, California |
| Authorized Official Name and Position | Natalie Small (LMFT) |
| Authorized Official Contact | 3107496289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groundswell Clinic Inc 1220 Rosecrans St San Diego CA 92106-2674 Ph: (310) 749-6289 | Groundswell Clinic Inc 1220 Rosecrans St San Diego CA 92106-2674 Ph: (310) 749-6289 |
| NPI Number | 1659187144 |
|---|---|
| Provider Enumeration Date | 12/09/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659187144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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