|
| |
|
3537 Boundary St San Diego CA 92104-4332 | |
| (619) 283-5665 | |
| (619) 283-1284 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3537 Boundary St, San Diego, California |
| Authorized Official Name and Position | Dana L. Terrell (PRESIDENT) |
| Authorized Official Contact | 6192835665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3537 Boundary St San Diego CA 92104-4332 Ph: (619) 283-5665 | 3537 Boundary St San Diego CA 92104-4332 Ph: (619) 283-5665 |
| NPI Number | 1033594163 |
|---|---|
| Provider Enumeration Date | 07/30/2015 |
| Last Update Date | 07/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033594163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW13773 (California) | Primary |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 |