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Organization

NOURISHED WELLNESS GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY VINCENT PSY.D. (OWNER/LICENSED PSYCHOLOGIST)
(760) 278-8934
Entity
Organization

Contact information

Practice address
169 SAXONY RD STE 111, ENCINITAS, CA 92024-6779
(760) 278-8934
Mailing address
169 SAXONY RD STE 111, ENCINITAS, CA 92024-6779

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
05/14/2025
Last updated
05/14/2025
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