| New Pathways Psychotherapy A Professional Corporation | |
|
10422 Camino San Thomas San Diego CA 92127-2883 | |
| (858) 754-9340 | |
| Not Available |
| Full Name | New Pathways Psychotherapy A Professional Corporation |
|---|---|
| Speciality | Counselor |
| Location | 10422 Camino San Thomas, San Diego, California |
| Authorized Official Name and Position | Julia Storch (OWNER) |
| Authorized Official Contact | 8587549340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Pathways Psychotherapy A Professional Corporation 10422 Camino San Thomas San Diego CA 92127-2883 Ph: (858) 754-9340 | New Pathways Psychotherapy A Professional Corporation 10422 Camino San Thomas San Diego CA 92127-2883 Ph: (858) 754-9340 |
| NPI Number | 1730956590 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 0446692669 |
|---|---|
| Medicare Enrollment ID | O20240520002565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730956590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Julia Burton Storch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750790275 PECOS PAC ID: 1355783572 Enrollment ID: I20240520002685 |
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