Organization · Type 2 NPI
Eating Disorder and Ocd Therapy, A Professional Clinical Counselor Cor
Professional Counselor · San Diego, CA
NPI number
1902512015
Active
Practice location
4036 3rd Ave
San Diego, CA 92103-2102
Mailing address
421 Broadway # 5064
San Diego, CA 92101-5107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1902512015
Eating Disorder and Ocd Therapy, A Professional Clinical Counselor Cor's National Provider Identifier is 1902512015, issued on Jan 24, 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 Oct 22, 2026.