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Dallas James Edge
Professional Counselor in San Diego, California
NPI 1518547603

Dallas James Edge is a Professional Counselor based in San Diego, CA and is specialized in Professional. Dallas James Edge practices in San Diego, CA. The NPI Number for Dallas James Edge is 1518547603 and holds a License No. APCC11789 (California).

The current practice location address for Dallas James Edge is 995 Gateway Center Way, San Diego, CA and can be reached out via phone at 619-398-2156.

Location: 995 Gateway Center Way, San Diego, CA, 92102-4500
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Provider Profile Details
NPI Number
1518547603
Provider Name
Dallas James Edge
Credential
Provider Entity Type
Individual
Gender
Male
Address
995 Gateway Center Way, San Diego, CA, 92102-4500
Phone Number
619-398-2156
Fax Number
Provider Enumeration Date
04/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
995 Gateway Center Way
City
State
Zip
92102-4500
Phone Number
619-398-2156
Fax Number
person
Provider Business Mailing Address Details
Address
995 Gateway Center Way
City
State
Zip
92102-4500
Phone Number
619-398-2156
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
APCC11789 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
APCC11789 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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