KATIE PHAN

SAN DIEGO, CA
NPI1033505656
Former NameKATIE SOTO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  95278)
Enumeration Date2015-04-09
Last Update Date2021-04-21
Business Address
KATIE PHAN M.S
591 CAMINO DE LA REINA STE 802
SAN DIEGO, CA 92108-3110
Phone number: 760-641-5723
Mailing Address
KATIE PHAN M.S
591 CAMINO DE LA REINA STE 802
SAN DIEGO, CA 92108-3110
Phone number: