| NPI | 1659777662 |
|---|---|
| Former Legal Business Name | FAMILYCOUNSEILNGSANDIEGO.COM, INC. |
| Entity Type | Organization |
| Authorized Contact | JANET P PHILLIPS President 760-498-1053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS24324) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT51509) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2017-03-29 |