Active NPIIndividual provider

Selorm Adjibolosoo

Marriage & Family Therapist in San Diego, California

NPI Number1902291149
Practice location
9400 Ruffin CT, San Diego, CA 92123-5300
Fax
—
Last updated
June 28, 2019

Selorm Adjibolosoo is a Marriage & Family Therapist based in San Diego, CA. Selorm Adjibolosoo practices in San Diego, CA. The NPI Number for Selorm Adjibolosoo is 1902291149 and holds a License No. 103395 (CA). The current practice location address for Selorm Adjibolosoo is 9400 Ruffin CT, San Diego, CA 92123-5300 and can be reached out via phone at 619-694-8790.

Provider Profile Details

NPI Number
1902291149
Provider Name
Selorm Adjibolosoo
Provider Entity Type
Individual
Gender
Female
Address
9400 Ruffin CT, San Diego, CA 92123-5300
Phone Number
619-694-8790
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
No
Provider Enumeration Date
April 4, 2015
Last Update Date
June 28, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
9400 Ruffin CT
San Diego, CA 92123-5300
Zip
92123-5300
Phone Number
619-694-8790
San Diego, CA 92123Get directions →

Provider Business Mailing Address Details

Address
9400 Ruffin CT
San Diego, CA 92123-5300
City
San Diego
State
CA
Zip
92123-5300
Phone Number
619-694-8790

License Information

License Number
103395
License State
CA
Taxonomy
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Selorm Adjibolosoo?

The NPI number of Selorm Adjibolosoo is 1902291149. It was assigned on April 4, 2015 and is currently active in the NPPES registry.

What is the specialty of Selorm Adjibolosoo?

Selorm Adjibolosoo is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CA under license number 103395.

Where does Selorm Adjibolosoo practice?

The practice location is 9400 Ruffin CT, San Diego, CA 92123-5300. The office can be reached at 619-694-8790 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902291149 directly on the NPPES registry website.

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