Organization · Type 2 NPI
Lac Counseling, Licensed Clinical Social Worker Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · San Diego, CA
NPI number
1679260244
Active
Practice location
2605 Madison Ave
San Diego, CA 92116-3048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1679260244
Lac Counseling, Licensed Clinical Social Worker Inc's National Provider Identifier is 1679260244, issued on Apr 24, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in San Diego, CA. The record was last updated on Apr 24, 2023.