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Organization
LIGHTHOUSE PSYCHOLOGICAL SERVICES
Active
Organization
LIGHTHOUSE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL L JENKINS PH.D. (DIRECTOR)
(619) 347-3457
Entity
Organization
Contact information
Practice address
3570 CAMINO DEL RIO N STE 102, SAN DIEGO, CA 92108-1747
(858) 337-7502
Mailing address
3570 CAMINO DEL RIO N STE 102, SAN DIEGO, CA 92108-1747
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC52269
CA
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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