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Individual

FENGQIN LIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9500 GILMAN DR DEPT 304, COUNSELING AND PSYCHOLOGICAL SERVICES (CAPS), LA JOLLA, CA 92093-0304
(858) 534-3755
Mailing address
9500 GILMAN DR DEPT 304, COUNSELING AND PSYCHOLOGICAL SERVICES (CAPS), LA JOLLA, CA 92093-0304

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25786
CA
103TC1900X
Counseling Psychologist
25786
CA

Other

Enumeration date
03/08/2014
Last updated
03/08/2014
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