Individual
EDMUND JOSE BAJET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
742 10TH ST, IMPERIAL BEACH, CA 91932-2216
(619) 906-5322
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC5863
CA
101YP2500X
Professional Counselor
Primary
13497
CA
Other
Enumeration date
06/19/2019
Last updated
09/17/2024
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