Organization
BEACH PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DOCKTER LCSW (CO-DIRECTOR)
(619) 318-5012
Entity
Organization
Contact information
Practice address
1767 GRAND AVE STE 4, SAN DIEGO, CA 92109-4400
(877) 293-8123
(858) 273-9410
Mailing address
1767 GRAND AVE STE 4, SAN DIEGO, CA 92109-4400
(877) 293-8123
(858) 273-9410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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