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7317 El Cajon Blvd # 129 La Mesa CA 91942-7434 | |
(619) 343-9543 | |
(619) 713-2561 |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 7317 El Cajon Blvd # 129, La Mesa, California |
Authorized Official Name and Position | Shanelle D. Johnson (CO-OWNER) |
Authorized Official Contact | 6193439543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7317 El Cajon Blvd # 129 La Mesa CA 91942-7434 Ph: (619) 343-9543 | 7317 El Cajon Blvd # 129 La Mesa CA 91942-7434 Ph: (619) 343-9543 |
NPI Number | 1689150864 |
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Provider Enumeration Date | 07/11/2018 |
Last Update Date | 07/11/2018 |
Identifier | Type | State | Issuer |
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1689150864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 105060 (California) | Primary |
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