SANDRA LEE KNICKERBOCKER

SAN DIEGO, CA
NPI1730690728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  108057)
Enumeration Date2017-10-17
Last Update Date2020-03-12
Business Address
SANDRA LEE KNICKERBOCKER LMFT
2816 ADAMS AVE
SAN DIEGO, CA 92116-1401
Phone number: 619-937-1900
Mailing Address
SANDRA LEE KNICKERBOCKER LMFT
8301 MISSION GORGE RD SPC 86
SANTEE, CA 92071-3580
Phone number: 619-937-1900