San Diego Therapy Group, A Professional Psychology Corporation
Counselor, Mental Health in San Diego, CA. Organization (NPI-2).
NPI number1235639733
StatusActive
Last updated in NPPESJan 22, 2019
Details
- NPI
- 1235639733
- Entity type
- Organization (NPI-2)
- Legal business name
- San Diego Therapy Group, A Professional Psychology Corporation
- Organization subpart
- No
- Enumeration date
- Feb 20, 2018
- Last updated
- Jan 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 103TC0700X | Psychologist, Clinical | 24952 | CA |
Other names
- San Diego Therapy Group (Doing Business As)
Practice location
3760 Convoy St.Ste. 118
San Diego, CA 92111
Phone 619-800-0821 · Fax 858-292-0143
Mailing address
3760 Convoy St.Ste. 118
San Diego, CA 92111
Phone 619-800-0821 · Fax 858-292-0143
Authorized official
Nicole Guzman
Ceo
6198000821
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