Individual
DR. CHRISTAURIA GILLIAN WELLAND-AKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
990 HIGHLAND DR, #103, SOLANA BEACH, CA 92075-2408
(858) 922-8555
(858) 484-7514
Mailing address
14356 MARIANOPOLIS WAY, SAN DIEGO, CA 92129-4316
(858) 922-8555
(858) 484-7514
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 17166
CA
103TC0700X
Clinical Psychologist
Primary
PSY 17166
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY 17166
CA
103TR0400X
Rehabilitation Psychologist
PSY 17166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17166
—
CA
Enumeration date
05/13/2006
Last updated
02/02/2010
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