| San Diego County | |
|
3177 Ocean View Blvd San Diego CA 92113-1432 | |
| (619) 987-2797 | |
| Not Available |
| Full Name | San Diego County |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3177 Ocean View Blvd, San Diego, California |
| Authorized Official Name and Position | Anne Fitzgerald (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 6195954418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego County 8690 Aero Dr Suite 115-41 San Diego CA 92123-1886 Ph: (619) 987-2797 | San Diego County 3177 Ocean View Blvd San Diego CA 92113-1432 Ph: (619) 987-2797 |
| NPI Number | 1861523003 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861523003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 48542 (California) | Primary |
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