Organization
TELETHERAPY ROOM, A LICENSED PROFESSIONAL CLINICAL COUNSELOR, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN MILLINOR LPC, LCMHC (CO-OWNER)
(888) 725-8085
Entity
Organization
Contact information
Practice address
10462 SAN DIEGO MISSION RD UNIT 18, SAN DIEGO, CA 92108-2255
(888) 725-8085
Mailing address
4740 MISSION GORGE PL UNIT 601147, SAN DIEGO, CA 92160-7047
(888) 725-8085
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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