Individual
KAELI MODRZEJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4570 MUIR AVE, SAN DIEGO, CA 92107-2319
(520) 861-4558
Mailing address
4570 MUIR AVE, SAN DIEGO, CA 92107-2319
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14499
CA
Other
Enumeration date
08/27/2019
Last updated
10/16/2023
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