| San Diego Grief Counseling A Marriage And Family Therapy Corporation | |
|
374 N Coast Highway 101 Encinitas CA 92024-2542 | |
| (323) 366-8208 | |
| Not Available |
| Full Name | San Diego Grief Counseling A Marriage And Family Therapy Corporation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 374 N Coast Highway 101, Encinitas, California |
| Authorized Official Name and Position | Mira Masukawa (OWNER) |
| Authorized Official Contact | 3233668208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Grief Counseling A Marriage And Family Therapy Corporation 374 N Coast Highway 101 Encinitas CA 92024-2542 Ph: (323) 366-8208 | San Diego Grief Counseling A Marriage And Family Therapy Corporation 374 N Coast Highway 101 Encinitas CA 92024-2542 Ph: (323) 366-8208 |
| NPI Number | 1184339194 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184339194 | NPI | - | NPPES |
| 1154892552 | Other | CA | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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