| San Diego Divorce Counseling Center | |
|
11622 El Camino Real Ste 100 San Diego CA 92130-2051 | |
| (619) 865-3203 | |
| Not Available |
| Full Name | San Diego Divorce Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11622 El Camino Real Ste 100, San Diego, California |
| Authorized Official Name and Position | Lynn Waldman Flax (OWNER/ CLINICAL DIRECTOR) |
| Authorized Official Contact | 6198653203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Divorce Counseling Center 3200 4th Ave Ste 207 San Diego CA 92103-5716 Ph: (619) 865-3203 | San Diego Divorce Counseling Center 11622 El Camino Real Ste 100 San Diego CA 92130-2051 Ph: (619) 865-3203 |
| NPI Number | 1356997761 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356997761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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