Organization · Type 2 NPI
Teletherapy Room, A Licensed Professional Clinical Counselor, Corp.
Professional Counselor · San Diego, CA
NPI number
1548953789
Active
Practice location
10462 San Diego Mission Rd Unit 18
San Diego, CA 92108-2255
Mailing address
4740 Mission Gorge Pl Unit 601147
San Diego, CA 92160-7047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1548953789
Teletherapy Room, A Licensed Professional Clinical Counselor, Corp.'s National Provider Identifier is 1548953789, issued on Jun 1, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Diego, CA. The record was last updated on Jun 1, 2023.