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Organization
NEW CONSTELLATION FAMILY THERAPY INC.
Active
Organization
NEW CONSTELLATION FAMILY THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NEAL EDWARDS LMFT (OWNER/CLINICIAN)
(619) 504-0786
Entity
Organization
Contact information
Practice address
2525 CAMINO DEL RIO S STE 305, SAN DIEGO, CA 92108-3784
(619) 821-4371
Mailing address
3901 DORSIE LN, LA MESA, CA 91941-7335
(619) 504-0786
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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