| Westlake Consultation Center | |
|
2616 Menlo Ave Apt 1 San Diego CA 92105-4461 | |
| (619) 770-5120 | |
| Not Available |
| Full Name | Westlake Consultation Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2616 Menlo Ave Apt 1, San Diego, California |
| Authorized Official Name and Position | Meriere Izobo (OWNER) |
| Authorized Official Contact | 6197705120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westlake Consultation Center Po Box 50204 San Diego CA 92165-0204 Ph: (619) 770-5120 | Westlake Consultation Center 2616 Menlo Ave Apt 1 San Diego CA 92105-4461 Ph: (619) 770-5120 |
| NPI Number | 1013763747 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013763747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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