Individual
KELLY THIEMTHATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
737 WINDY POINT DR STE 101, SAN MARCOS, CA 92069-1936
(619) 452-0198
(619) 452-0198
Mailing address
737 WINDY POINT DR STE 101, SAN MARCOS, CA 92069-1936
(619) 452-0198
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
230233703
CA
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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