Individual
BEX CHINISIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Mailing address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ACSW 74507
CA
1041C0700X
Clinical Social Worker
Primary
92972
CA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/29/2013
Last updated
01/18/2023
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