| License To Freedom | |
|
131 Avocado Ave El Cajon CA 92020-4601 | |
| (619) 813-7415 | |
| Not Available |
| Full Name | License To Freedom |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 131 Avocado Ave, El Cajon, California |
| Authorized Official Name and Position | Dilkhwaz Ahmed (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6198137415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| License To Freedom 131 Avocado Ave El Cajon CA 92020-4601 Ph: () - | License To Freedom 131 Avocado Ave El Cajon CA 92020-4601 Ph: (619) 813-7415 |
| NPI Number | 1528651718 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 02/18/2021 |
| Certification Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528651718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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