Christian Counseling Of Columbia PA
Psychologist, Clinical in San Diego, CA. Organization (NPI-2).
NPI number1144463563
StatusActive
Last updated in NPPESApr 15, 2009
Details
- NPI
- 1144463563
- Entity type
- Organization (NPI-2)
- Legal business name
- Christian Counseling Of Columbia PA
- Organization subpart
- No
- Enumeration date
- Apr 15, 2009
- Last updated
- Apr 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY 22538 | CA | Yes |
| 103G00000X | Clinical Neuropsychologist | PSY 22538 | CA | |
| 103TF0200X | Psychologist, Forensic | PSY 22538 | CA |
Practice location
8555 Station Village Ln#3139
San Diego, CA 92108-6543
Phone 619-692-3736
Mailing address
8555 Station Village Ln#3139
San Diego, CA 92108-6543
Phone 619-692-3736
Authorized official
Jonathan Venn
President
6196923736
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