| Therapy For Black Women | |
|
5353 Baltimore Dr La Mesa CA 91942-4607 | |
| (619) 784-4978 | |
| Not Available |
| Full Name | Therapy For Black Women |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5353 Baltimore Dr, La Mesa, California |
| Authorized Official Name and Position | Jerisha Lacrae Rutlin (OWNER) |
| Authorized Official Contact | 6197844978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy For Black Women 5405 Baltimore Dr Apt 31 La Mesa CA 91942-5019 Ph: (314) 625-6070 | Therapy For Black Women 5353 Baltimore Dr La Mesa CA 91942-4607 Ph: (619) 784-4978 |
| NPI Number | 1720793565 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720793565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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Open Mind Mental Health Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5241 Alzeda Dr, La Mesa, CA 91941 Phone: 619-940-0042 | |
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