Individual provider · Type 1 NPI

Azita Mirin, PSY.D.

Counselor · San Diego, CA

NPI number 1164746004 Active

Practice location

3020 Childrens Way # MC6013
San Diego, CA 92123-4223

Call (619) 420-5611 Map

Fax (619) 420-5531

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XRPS2008174 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1164746004

Azita Mirin, PSY.D.'s National Provider Identifier is 1164746004, issued on Mar 22, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Mar 22, 2010.