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Organization
PACIFIC INTEGRATIVE THERAPY INC
Active
Organization
PACIFIC INTEGRATIVE THERAPY INC
Active
Other names
Green Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEDIEH AZADMEHR PH.D (PRESIDENT)
(858) 877-1750
Entity
Organization
Contact information
Practice address
12625 HIGH BLUFF DR STE 103, SAN DIEGO, CA 92130-2053
(858) 877-1750
(855) 554-1110
Mailing address
12636 HIGH BLUFF DR, SAN DIEGO, CA 92130-2022
(858) 877-1860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/14/2021
Last updated
11/05/2024
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