Organization
GROWTHWELL COUNSELING
Active
Organization
GROWTHWELL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN MANUEL CALDERON-AGUIRRE LCSW (OWNER-THERAPIST)
(619) 808-4477
Entity
Organization
Contact information
Practice address
2831 CAMINO DEL RIO S STE 112, SAN DIEGO, CA 92108-3707
(619) 808-4477
Mailing address
4643 WILSON AVE APT 5, SAN DIEGO, CA 92116-3577
(619) 808-4477
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
71796
CA
Other
Enumeration date
12/13/2016
Last updated
02/22/2017
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