Organization · Type 2 NPI
Gray Whale Marriage and Family Therapy Prof Corp
Mental Health Counselor · San Diego, CA
NPI number
1194575019
Active
Practice location
8426 Fireside Ave
San Diego, CA 92123-2848
Mailing address
PO Box 231012
San Diego, CA 92193-1012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1194575019
Gray Whale Marriage and Family Therapy Prof Corp's National Provider Identifier is 1194575019, issued on Mar 25, 2024. 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 Mar 25, 2024.