Individual provider · Type 1 NPI
Tanya Disselkoen
Mental Health Counselor · San Diego, CA
NPI number
1922294206
Active
Practice location
10717 Camino Ruiz, Suite 204
San Diego, CA 92126-2360
Fax (858) 695-3521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1922294206
Tanya Disselkoen's National Provider Identifier is 1922294206, issued on Sep 19, 2007. 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 Sep 19, 2007.