| The Soul Care House | |
|
1427 W Lewis St San Diego CA 92103-1711 | |
| (602) 690-8021 | |
| Not Available |
| Full Name | The Soul Care House |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1427 W Lewis St, San Diego, California |
| Authorized Official Name and Position | Kelly Catherine Limmer (MARRIAGE AND FAMILY THERAPY INTERN) |
| Authorized Official Contact | 6026908021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Soul Care House 1427 W Lewis St San Diego CA 92103-1711 Ph: (602) 690-8021 | The Soul Care House 1427 W Lewis St San Diego CA 92103-1711 Ph: (602) 690-8021 |
| NPI Number | 1255703823 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 10/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255703823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | IMF87455 (California) | Primary |
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