Individual
DR. CHRISTINA LYNN GIETZEN-HARADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7710 BALBOA AVE, SUITE 320, SAN DIEGO, CA 92111-2261
(858) 232-9145
(858) 278-1676
Mailing address
7710 BALBOA AVE, SUITE 320, SAN DIEGO, CA 92111-2261
(858) 232-9145
(858) 278-1676
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY17856
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY17856
CA
103TC0700X
Clinical Psychologist
Primary
PSY17856
CA
Other
Enumeration date
05/04/2007
Last updated
04/26/2011
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