| Tania Beaudoin Licensed Clinical Social Worker Inc | |
|
2580 Catamaran Way Chula Vista CA 91914-4533 | |
| (619) 500-6120 | |
| Not Available |
| Full Name | Tania Beaudoin Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2580 Catamaran Way, Chula Vista, California |
| Authorized Official Name and Position | Tania Marie Beaudoin (PRESIDENT/OWNER) |
| Authorized Official Contact | 6195006120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tania Beaudoin Licensed Clinical Social Worker Inc 2027 Mount Langley St Chula Vista CA 91913-1613 Ph: (619) 500-6120 | Tania Beaudoin Licensed Clinical Social Worker Inc 2580 Catamaran Way Chula Vista CA 91914-4533 Ph: (619) 500-6120 |
| NPI Number | 1215697990 |
|---|---|
| Provider Enumeration Date | 12/22/2021 |
| Last Update Date | 12/22/2021 |
| Certification Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215697990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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