Organization
KRISSIE LE-HERMIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISSIE P LE-HERMIDA LCSW (OWNER)
(619) 960-9645
Entity
Organization
Contact information
Practice address
625 3RD AVE, CHULA VISTA, CA 91910-5703
(619) 960-9645
(619) 476-7566
Mailing address
625 3RD AVE, CHULA VISTA, CA 91910-5703
(619) 960-9645
(619) 476-7566
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LCS15235
CA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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