# BETH CORRICK MFT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407955016
- **Authorized official:** BETH CORRICK LMFT (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (858) 699-1497

## Contact information

- **Practice address:** 5752 OBERLIN DR STE 203, SAN DIEGO, CA 92121-1749
- **Practice address phone:** (858) 699-1497
- **Practice address fax:** (858) 481-8271
- **Mailing address:** PO BOX 1074, CARDIFF, CA 92007, CARDIFF BY THE SEA, CA 92007-7074
- **Mailing address phone:** (858) 699-1497
- **Mailing address fax:** (858) 481-8271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | MFC 46498 | CA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 10/27/2010