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Organization
SAN DIEGO PSYCHOLOGICAL COUPLE CARE, INC.
Active
Organization
SAN DIEGO PSYCHOLOGICAL COUPLE CARE, INC.
Active
Other names
San Diego Couple Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISA CICILA PHD (CEO)
(619) 784-8504
Entity
Organization
Contact information
Practice address
3233 3RD AVE, SAN DIEGO, CA 92103-5615
(619) 784-8504
(619) 790-4776
Mailing address
3233 3RD AVE, SAN DIEGO, CA 92103-5615
(619) 784-8504
(619) 790-4776
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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