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Organization

MHRC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. COLIN DAVID SULLIVAN (COUNSELOR-MENTAL HEALTH)
(619) 525-7372
Entity
Organization

Contact information

Practice address
2351 CARDINAL LN # B, SAN DIEGO, CA 92123-3743
(858) 573-2227
Mailing address
2351 CARDINAL LN # B, SAN DIEGO, CA 92123-3743

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Enumeration date
03/02/2007
Last updated
08/22/2020
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