Individual provider · Type 1 NPI

Mary Jane Omens, LCSW

Mental Health Counselor · San Diego, CA

NPI number 1053517995 Active

Practice location

3420 Kenyon St
San Diego, CA 92110-5001

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	7586 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1053517995

Mary Jane Omens, LCSW's National Provider Identifier is 1053517995, issued on Jun 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.