Individual
KAITLIN M MAEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3767 CENTRAL AVE, SAN DIEGO, CA 92105-2599
(619) 584-4010
Mailing address
3767 CENTRAL AVE, SAN DIEGO, CA 92105-2599
(619) 584-4010
(619) 278-0770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15097
CA
Other
Enumeration date
04/25/2024
Last updated
04/30/2024
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