Individual
KATHRYN ZOE SPAVENTA-VANCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4275 EL CAJON BLVD STE 100, SAN DIEGO, CA 92105-1293
(619) 478-8340
Mailing address
6176 TOOLEY ST, SAN DIEGO, CA 92114-1333
(805) 708-3365
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
Primary
PSY28782
CA
Other
Enumeration date
06/08/2015
Last updated
06/30/2026
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