Full Name | |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 720 9th St, Ramona, California |
Authorized Official Name and Position | Jeanne Mcalister (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6194420277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1400 North Johmson Ave El Cajon CA 92020 Ph: () - | 720 9th St Ramona CA 92065-2348 Ph: (760) 788-6520 |
NPI Number | 1033419148 |
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Provider Enumeration Date | 10/25/2010 |
Last Update Date | 09/13/2023 |
Certification Date | 09/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033419148 | NPI | - | NPPES |
37-8550 | Other | MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Mindful Living Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24340 Ca-78, Ramona, CA 95065 Phone: 619-341-9007 Fax: 619-354-2157 | |