| John J Kachorek, Phd | |
|
220 2nd St Encinitas CA 92024-3205 | |
| (760) 942-3194 | |
| (760) 942-4563 |
| Full Name | John J Kachorek, Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 220 2nd St, Encinitas, California |
| Authorized Official Name and Position | John J Kachorek (OWNER) |
| Authorized Official Contact | 7609423194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J Kachorek, Phd 220 2nd St Encinitas CA 92024-3205 Ph: (760) 942-3194 | John J Kachorek, Phd 220 2nd St Encinitas CA 92024-3205 Ph: (760) 942-3194 |
| NPI Number | 1861616104 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861616104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY5055 (California) | Primary |
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