Individual
NATHAN LAMAR WALSH-HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
(619) 233-0453
Mailing address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
(619) 233-0453
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19046
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2024
Last updated
03/31/2025
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