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Organization
HIEDI CHAN MARRIAGE AND FAMILY THERAPY INCORPORATED
Active
Organization
HIEDI CHAN MARRIAGE AND FAMILY THERAPY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIEDI CHAN (CEO)
(858) 945-4241
Entity
Organization
Contact information
Practice address
3160 CAMINO DEL RIO S STE 116, SAN DIEGO, CA 92108-8933
(858) 381-0310
Mailing address
13037 YERBA VALLEY WAY, LAKESIDE, CA 92040-1567
(858) 945-4241
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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