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Organization
TLC FAMILY THERAPY CORP
Active
Organization
TLC FAMILY THERAPY CORP
Active
Other names
San Diego Medical Pain and Trama Institute, TLC Family Therapy Corp
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY LYNN CHESTER LMFT (FOUNDER/CLINICAL DIRECTOR)
(858) 531-3795
Entity
Organization
Contact information
Practice address
5405 MOREHOUSE DR STE 120, SAN DIEGO, CA 92121-4723
(442) 777-2040
(858) 408-4494
Mailing address
5965 VILLAGE WAY. SUITE 105 #112, SAN DIEGO, CA 92130
(442) 777-2040
(858) 408-4494
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/25/2021
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