Organization
LAC COUNSELING, LICENSED CLINICAL SOCIAL WORKER INC
Active
Other names
LAC Counseling Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA LORRAINE DINKINS LCSW (PRESIDENT)
(858) 789-0623
Entity
Organization
Contact information
Practice address
2605 MADISON AVE, SAN DIEGO, CA 92116-3048
(858) 789-0623
Mailing address
2605 MADISON AVE, SAN DIEGO, CA 92116-3048
(858) 789-0623
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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