Joncannon Eiden
Marriage & Family Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1043031925
StatusActive
Last updated in NPPESOct 22, 2024
Details
- NPI
- 1043031925
- Entity type
- Individual (NPI-1)
- Name
- Joncannon Eiden
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2024
- Certification date
- Oct 22, 2024
- Last updated
- Oct 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | CA | Yes |
Practice location
5252 Balboa Ave Ste 408San Diego, CA 92117-6939
Phone 858-333-6856
Mailing address
5252 Balboa Ave Ste 408San Diego, CA 92117-6939
Phone 858-333-6856
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