| Kaelyn Marie Licensed Professional Clinical Counselor Inc | |
|
3033 Fifth Ave Ste 230 San Diego CA 92103-5873 | |
| (323) 628-8452 | |
| Not Available |
| Full Name | Kaelyn Marie Licensed Professional Clinical Counselor Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3033 Fifth Ave Ste 230, San Diego, California |
| Authorized Official Name and Position | Kaelyn Baker (CEO) |
| Authorized Official Contact | 5099512783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaelyn Marie Licensed Professional Clinical Counselor Inc 4583 Maryland St San Diego CA 92116-1158 Ph: (509) 951-2783 | Kaelyn Marie Licensed Professional Clinical Counselor Inc 3033 Fifth Ave Ste 230 San Diego CA 92103-5873 Ph: (323) 628-8452 |
| NPI Number | 1437963485 |
|---|---|
| Provider Enumeration Date | 02/01/2025 |
| Last Update Date | 02/01/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437963485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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