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Organization
INTEGRATIVE MIND & BODY PSYCHOTHERAPY, INC.
Active
Organization
INTEGRATIVE MIND & BODY PSYCHOTHERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI L CEBALLOS PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(619) 354-2682
Entity
Organization
Contact information
Practice address
2305 HISTORIC DECATUR RD STE 100, SAN DIEGO, CA 92106-6071
(619) 354-2682
(619) 839-3780
Mailing address
2305 HISTORIC DECATUR RD STE 100, SAN DIEGO, CA 92106-6071
(619) 354-2682
(619) 839-3780
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26623
CA
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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