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5752 Oberlin Dr Suite 225 San Diego CA 92121-1747 | |
| (619) 993-5547 | |
| (760) 529-9444 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5752 Oberlin Dr, San Diego, California |
| Authorized Official Name and Position | Ian Foster (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 6199935547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5752 Oberlin Dr Suite 225 San Diego CA 92121-1747 Ph: (619) 993-5547 | 5752 Oberlin Dr Suite 225 San Diego CA 92121-1747 Ph: (619) 993-5547 |
| NPI Number | 1699122143 |
|---|---|
| Provider Enumeration Date | 05/14/2016 |
| Last Update Date | 06/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699122143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 43778 (California) | Primary |
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