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Organization
POTENTIA FAMILY THERAPY, INC.
Active
Organization
POTENTIA FAMILY THERAPY, INC.
Active
Other names
Potentia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA D BASS-CHING LMFT (OWNER AND DIRECTOR)
(619) 819-0283
Entity
Organization
Contact information
Practice address
3160 CAMINO DEL RIO S, 304, SAN DIEGO, CA 92108-3813
(619) 819-0283
(619) 819-0284
Mailing address
3160 CAMINO DEL RIO S, 304, SAN DIEGO, CA 92108-3813
(619) 819-0283
(619) 819-0284
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
44584
CA
Other
Enumeration date
07/23/2011
Last updated
07/23/2011
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