# LIGHTHOUSE PSYCHOLOGICAL SERVICES

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

## Provider details

- **NPI number:** 1518392190
- **Authorized official:** DANIEL L JENKINS PH.D. (DIRECTOR)
- **Authorized official phone:** (619) 347-3457

## Contact information

- **Practice address:** 3570 CAMINO DEL RIO N STE 102, SAN DIEGO, CA 92108-1747
- **Practice address phone:** (858) 337-7502
- **Mailing address:** 3570 CAMINO DEL RIO N STE 102, SAN DIEGO, CA 92108-1747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC52269 | CA | Yes |

## Other

- **Enumeration date:** 09/13/2013
- **Last updated:** 09/13/2013