San Diego State University - Healthy Early Years Clinic
San Diego State University - Healthy Early Years Clinic is a Counselor in San Diego, California. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
4283 El Cajon Blvd Ste 200San Diego, CA 92105
Phone: (619) 530-0122
Fax: (619) 530-0822
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Social Worker | Taxonomy 104100000X |
| Marriage & Family Therapist | Taxonomy 106H00000X |
Record details
| NPI number | 1124849658 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | San Diego State University |
| Authorized official | Agnes Wong Nickerson — Associate Vp Of Financial Operation · (619) 594-6017 |
| NPI enumerated | October 17, 2024 |
| Last updated in NPPES | October 17, 2024 |
| Mailing address | 5500 Campanile Dr, San Diego, CA 92182-1518 |
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