John Tastad
John Tastad is a Mental Health Counselor in San Diego, California. Qualified in 2020, 6 years ago. Practices as a sole proprietor.
- Years since qualifying
- 6
- In the registry since
- 2021
Practice location Address checks out
4660 El Cajon Blvd Ste 210San Diego, CA 92115-4466
Phone: (619) 597-7335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1407430689 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 12, 2021 |
| Last updated in NPPES | May 12, 2021 |
| Certification date | May 12, 2021 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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