| Lac Counseling, Licensed Clinical Social Worker Inc | |
|
2605 Madison Ave San Diego CA 92116-3048 | |
| (858) 789-0623 | |
| Not Available |
| Full Name | Lac Counseling, Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2605 Madison Ave, San Diego, California |
| Authorized Official Name and Position | Miranda Lorraine Dinkins (PRESIDENT) |
| Authorized Official Contact | 8587890623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lac Counseling, Licensed Clinical Social Worker Inc 2605 Madison Ave San Diego CA 92116-3048 Ph: (858) 789-0623 | Lac Counseling, Licensed Clinical Social Worker Inc 2605 Madison Ave San Diego CA 92116-3048 Ph: (858) 789-0623 |
| NPI Number | 1679260244 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679260244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
Rd Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
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True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
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