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Organization
LAC COUNSELING, LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization
LAC COUNSELING, LICENSED CLINICAL SOCIAL WORKER INC
Active
Other names
LAC Counseling Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA LORRAINE DINKINS LCSW (PRESIDENT)
(858) 789-0623
Entity
Organization
Contact information
Practice address
2605 MADISON AVE, SAN DIEGO, CA 92116-3048
(858) 789-0623
Mailing address
2605 MADISON AVE, SAN DIEGO, CA 92116-3048
(858) 789-0623
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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