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Organization

BADIS THERAPY LMFT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICHOLAS W BADIS LMFT (CEO)
(909) 219-0274
Entity
Organization

Contact information

Practice address
3441 39TH ST, SAN DIEGO, CA 92105-3307
(909) 219-0274
(619) 209-3092
Mailing address
3441 39TH ST, SAN DIEGO, CA 92105-3307
(909) 219-0274

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/11/2024
Last updated
12/11/2024
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