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Organization
SAN DIEGO DIVORCE COUNSELING CENTER
Active
Organization
SAN DIEGO DIVORCE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN WALDMAN FLAX LCSW (OWNER/ CLINICAL DIRECTOR)
(619) 865-3203
Entity
Organization
Contact information
Practice address
11622 EL CAMINO REAL STE 100, SAN DIEGO, CA 92130-2051
(619) 865-3203
Mailing address
3200 4TH AVE STE 207, SAN DIEGO, CA 92103-5716
(619) 865-3203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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