Individual & Marital Therapy By Richard K INC
Clinic/Center, Adult Mental Health in San Diego, CA. Organization (NPI-2).
NPI number1982385605
StatusActive
Last updated in NPPESJul 26, 2023
Details
- NPI
- 1982385605
- Entity type
- Organization (NPI-2)
- Legal business name
- Individual & Marital Therapy By Richard K INC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2023
- Certification date
- Jul 26, 2023
- Last updated
- Jul 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
2525 Camino Del Rio S Ste 107San Diego, CA 92108-3718
Phone 619-417-4923
Mailing address
2525 Camino Del Rio S Ste 107San Diego, CA 92108-3718
Phone 619-417-4923
Authorized official
Richard G Kastanias
Psychotherapist
6194174923
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