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2001 Rimbey Avenue Class Room #27 San Diego CA 92154-3099 | |
| (619) 628-3541 | |
| (619) 628-3589 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2001 Rimbey Avenue, San Diego, California |
| Authorized Official Name and Position | Jessica Hanly (CONTROLLER) |
| Authorized Official Contact | 6194704233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
330 Moss St 490 Emory, Imperial Beach, Ca. 91932 Chula Vista CA 91911-2005 Ph: (619) 585-4228 | 2001 Rimbey Avenue Class Room #27 San Diego CA 92154-3099 Ph: (619) 628-3541 |
| NPI Number | 1689868010 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 03/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689868010 | NPI | - | NPPES |
| 37JW | Other | CA | COUNTY OF SAN DIEGO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37JW (California) | Primary |
| 283Q00000X | Psychiatric Hospital | 090000086 (California) | Secondary |
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 |