Individual
LINDA LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5230 CARROLL CANYON RD, SAN DIEGO, CA 92121-1778
(970) 682-4572
Mailing address
5230 CARROLL CANYON RD, SAN DIEGO, CA 92121-1778
(970) 682-4572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
35250
CA
Other
Enumeration date
11/09/2015
Last updated
08/13/2024
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