| Therapeutic Center For Anxiety And Trauma, Individual And Family Thera | |
|
2121 5th Ave Ste 214 San Diego CA 92101-2139 | |
| (619) 272-6858 | |
| Not Available |
| Full Name | Therapeutic Center For Anxiety And Trauma, Individual And Family Thera |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2121 5th Ave Ste 214, San Diego, California |
| Authorized Official Name and Position | Jennifer Costanza (OWNER/PRESIDENT) |
| Authorized Official Contact | 6192726858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Center For Anxiety And Trauma, Individual And Family Thera 2121 5th Ave Ste 214 San Diego CA 92101-2139 Ph: (619) 272-6858 | Therapeutic Center For Anxiety And Trauma, Individual And Family Thera 2121 5th Ave Ste 214 San Diego CA 92101-2139 Ph: (619) 272-6858 |
| NPI Number | 1770990657 |
|---|---|
| Provider Enumeration Date | 07/12/2014 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770990657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC49250 (California) | Primary |
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