Organization
NOURISHED PSYCHOTHERAPY GROUP
Active
Other names
Nourished Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY VINCENT PSY.D. (CEO)
(916) 601-1925
Entity
Organization
Contact information
Practice address
169 SAXONY RD STE 111, ENCINITAS, CA 92024-6779
(760) 760-7217
Mailing address
169 SAXONY RD STE 111, ENCINITAS, CA 92024-6779
(760) 760-7217
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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