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Organization
SOUL TIDE OUTPATIENT PSYCHOTHERAPY, PC
Active
Organization
SOUL TIDE OUTPATIENT PSYCHOTHERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR J OLSON PSYD (PSYCHOLOGIST/OWNER)
(855) 945-7421
Entity
Organization
Contact information
Practice address
3257 CAMINO DE LOS COCHES STE 303, CARLSBAD, CA 92009-8974
(858) 945-7421
(858) 726-6265
Mailing address
2204 IRVING AVE, SAN DIEGO, CA 92113-2301
(858) 945-7421
(858) 726-6265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
02/03/2026
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