| Boundaries Family Counseling &licensed Clinical Social Worker Corp. | |
|
135 E 3rd Ave Ste. B Escondido CA 92025-4252 | |
| (760) 705-8468 | |
| (760) 735-2922 |
| Full Name | Boundaries Family Counseling &licensed Clinical Social Worker Corp. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 135 E 3rd Ave, Escondido, California |
| Authorized Official Name and Position | Holly Hastings Gines (OWNER/PRESIDENT) |
| Authorized Official Contact | 8582124454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boundaries Family Counseling &licensed Clinical Social Worker Corp. 105 N Rose St Ste. 211 Escondido CA 92027-7222 Ph: (760) 705-8468 | Boundaries Family Counseling &licensed Clinical Social Worker Corp. 135 E 3rd Ave Ste. B Escondido CA 92025-4252 Ph: (760) 705-8468 |
| NPI Number | 1821326158 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 02/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821326158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS 20560 (California) | Primary |
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