| Counseling & Behavioral Specialists, Afcc | |
|
9029 Park Plaza Dr Suite #101 La Mesa CA 91942-3436 | |
| (619) 697-0470 | |
| (619) 697-0505 |
| Full Name | Counseling & Behavioral Specialists, Afcc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 9029 Park Plaza Dr, La Mesa, California |
| Authorized Official Name and Position | Jordanna Fern Wasilesku (OWNER) |
| Authorized Official Contact | 6196970470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Behavioral Specialists, Afcc 9029 Park Plaza Dr Suite #101 La Mesa CA 91942-3436 Ph: (619) 697-0470 | Counseling & Behavioral Specialists, Afcc 9029 Park Plaza Dr Suite #101 La Mesa CA 91942-3436 Ph: (619) 697-0470 |
| NPI Number | 1063637015 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063637015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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