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Organization

HHSA

Active
Find providers by NPI
Organization

HHSA

Active
Other names
County Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH MICHAEL CONCELLOSI LCSW (PROGRAM MANAGER)
(619) 758-6205
Entity
Organization

Contact information

Practice address
1715 31ST ST, 3320 KEMPER ST. SUITE3104, SAN DIEGO, CA 92102-1425
(619) 758-6205
(619) 758-6209
Mailing address
1715 31ST ST, 3320 KEMPER ST. SUITE#104, SAN DIEGO, CA 92102-1425
(619) 758-6205
(619) 758-6209

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCS13561
CA

Other

Enumeration date
03/02/2007
Last updated
08/22/2020
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