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Nastassjavargaslicensedclinicalsocialworker.inc
Adult Mental Health Clinic/Center in San Diego, California
NPI 1881278703

Nastassjavargaslicensedclinicalsocialworker.inc is an Adult Mental Health Clinic/Center based in San Diego, CA and is specialized in Adult Mental Health. Nastassjavargaslicensedclinicalsocialworker.inc practices in San Diego, CA. The NPI Number for Nastassjavargaslicensedclinicalsocialworker.inc is 1881278703 and holds a License No. (California).

The current practice location address for Nastassjavargaslicensedclinicalsocialworker.inc is 4075 Park Blvd Ste 102-156, San Diego, CA and can be reached out via phone at 619-786-6402.

Location: 4075 Park Blvd Ste 102-156, San Diego, CA, 92103-2670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881278703
Provider Name
Nastassjavargaslicensedclinicalsocialworker.inc
Credential
Provider Entity Type
Organization
Address
4075 Park Blvd Ste 102-156, San Diego, CA, 92103-2670
Phone Number
619-786-6402
Fax Number
Provider Enumeration Date
05/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4075 Park Blvd Ste 102-156
City
San Diego
State
California
Zip
92103-2670
Phone Number
619-786-6402
Fax Number
person
Provider Business Mailing Address Details
Address
4075 Park Blvd Ste 102-156
City
San Diego
State
California
Zip
92103-2670
Phone Number
619-786-6402
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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