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Individual

EVAN SCHLUSSELBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
(619) 233-0453
Mailing address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
03/12/2022
Last updated
09/04/2024
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