Individual
BEKANA K TADESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH
Contact information
Practice address
3989 RUFFIN RD, SAN DIEGO, CA 92123-1815
(858) 694-4804
Mailing address
4825 70TH ST APT 3, SAN DIEGO, CA 92115-3081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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