# SHORE CREST FAMILY COUNSELING SERVICES, CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962105932
- **Authorized official:** KIMBERLY S NELSON LMFT (CEO / OWNER)
- **Authorized official phone:** (760) 579-1422

## Contact information

- **Practice address:** 325 CARLSBAD VILLAGE DR STE F2, CARLSBAD, CA 92008-2928
- **Practice address phone:** (760) 579-1422
- **Mailing address:** 325 CARLSBAD VILLAGE DR STE F2, CARLSBAD, CA 92008-2928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2023
- **Last updated:** 03/27/2023