| San Diego Mountain 2 Coast Therapy, Professional Clinical Counselor Corporation | |
|
2232 Highway 79 Julian CA 92036 | |
| (760) 420-6501 | |
| Not Available |
| Full Name | San Diego Mountain 2 Coast Therapy, Professional Clinical Counselor Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2232 Highway 79, Julian, California |
| Authorized Official Name and Position | Angeline Baucom (OWNER) |
| Authorized Official Contact | 7604206501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Mountain 2 Coast Therapy, Professional Clinical Counselor Corporation Po Box 191 Santa Ysabel CA 92070-0191 Ph: () - | San Diego Mountain 2 Coast Therapy, Professional Clinical Counselor Corporation 2232 Highway 79 Julian CA 92036 Ph: (760) 420-6501 |
| NPI Number | 1972421824 |
|---|---|
| Provider Enumeration Date | 07/08/2026 |
| Last Update Date | 07/08/2026 |
| Certification Date | 06/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972421824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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