MADISON OMHOLT

SAN DIEGO, CA
NPI1972888113
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  50577)
Enumeration Date2011-10-19
Last Update Date2011-10-19
Business Address
-- MADISON OMHOLT PhD., LMFT, SEP
131 W UNIVERSITY AVE
SAN DIEGO, CA 92103-3021
Phone number: 619-519-1000
Mailing Address
-- MADISON OMHOLT PhD., LMFT, SEP
PO BOX 632951
SAN DIEGO, CA 92163-2951
Phone number: 619-519-1000
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