Organization
GERIATRIC COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SHEA (PRESIDENT)
(619) 466-0370
Entity
Organization
Contact information
Practice address
3936 SYME DR, CARLSBAD, CA 92008-3569
(866) 309-3332
(855) 872-6151
Mailing address
3936 SYME DR, CARLSBAD, CA 92008-3569
(866) 309-3332
(855) 872-6151
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY11450
CA
103T00000X
Psychologist
PSY14791
CA
103TC0700X
Clinical Psychologist
PSY12736
CA
103TC0700X
Clinical Psychologist
PSY13951
CA
103TC0700X
Clinical Psychologist
PSY4623
CA
103TC0700X
Clinical Psychologist
PSY4650
CA
1041C0700X
Clinical Social Worker
LCS16379
CA
1041C0700X
Clinical Social Worker
LCS21925
CA
1041C0700X
Clinical Social Worker
LCS23229
CA
Other
Enumeration date
10/23/2015
Last updated
11/02/2015
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