Individual provider · Type 1 NPI
Tianna Marie Mims, ASW
Mental Health Counselor · San Diego, CA
NPI number
1942459656
Active
Practice location
3132 Jefferson St
San Diego, CA 92110-4421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1942459656
Tianna Marie Mims, ASW's National Provider Identifier is 1942459656, issued on Sep 17, 2008. 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 26, 2023.