Organization
LIGHT HEARTS COUNSELLING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY A JOHNSON LCSW (PRIVATE THERAPIST)
(619) 933-3771
Entity
Organization
Contact information
Practice address
7484 UNIVERSITY AVE, STE 210, LA MESA, CA 91942-6063
(619) 933-3771
Mailing address
5350 BALTIMORE DR, 72, LA MESA, CA 91942-4612
(619) 933-3771
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS26335
CA
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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