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Organization
GOLDEN STATE CLINICAL COUNSELING, A
Active
Organization
GOLDEN STATE CLINICAL COUNSELING, A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR MARIE TICA LPCC (PRESIDENT)
(760) 557-5572
Entity
Organization
Contact information
Practice address
8880 RIO SAN DIEGO DR STE 800, SAN DIEGO, CA 92108-1642
(760) 557-5572
Mailing address
8880 RIO SAN DIEGO DR STE 800, SAN DIEGO, CA 92108-1642
(760) 557-5572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/19/2021
Last updated
04/30/2024
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