| Teletherapy Room, A Licensed Professional Clinical Counselor, Corp. | |
|
10462 San Diego Mission Rd Unit 18 San Diego CA 92108-2255 | |
| (888) 725-8085 | |
| Not Available |
| Full Name | Teletherapy Room, A Licensed Professional Clinical Counselor, Corp. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10462 San Diego Mission Rd Unit 18, San Diego, California |
| Authorized Official Name and Position | Katelyn Millinor (CO-OWNER) |
| Authorized Official Contact | 8887258085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teletherapy Room, A Licensed Professional Clinical Counselor, Corp. 4740 Mission Gorge Pl Unit 601147 San Diego CA 92160-7047 Ph: (888) 725-8085 | Teletherapy Room, A Licensed Professional Clinical Counselor, Corp. 10462 San Diego Mission Rd Unit 18 San Diego CA 92108-2255 Ph: (888) 725-8085 |
| NPI Number | 1548953789 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 06/01/2023 |
| Certification Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548953789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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