| The Center For Stress And Healthy Aging, Llc | |
|
3411 3rd Ave San Diego CA 92103-4906 | |
| (619) 722-5797 | |
| Not Available |
| Full Name | The Center For Stress And Healthy Aging, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3411 3rd Ave, San Diego, California |
| Authorized Official Name and Position | Sofie Ling Champassak (OWNER) |
| Authorized Official Contact | 6197225797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Stress And Healthy Aging, Llc Po Box 26331 San Diego CA 92196-0331 Ph: (619) 722-5797 | The Center For Stress And Healthy Aging, Llc 3411 3rd Ave San Diego CA 92103-4906 Ph: (619) 722-5797 |
| NPI Number | 1083189161 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 08/07/2020 |
| Certification Date | 08/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083189161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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