| NPI | 1215632476 |
|---|---|
| Former Legal Business Name | THE CLINICAL OFFICE OF DR. LEANNE SELF, APPC |
| Entity Type | Organization |
| Authorized Contact | LEANNE SELF Owner/Psychologist 619-395-2885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |