Individual
BEVERLY TUBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 30TH ST # STREEKK, SAN DIEGO, CA 92154-3497
(619) 428-1000
Mailing address
1465 30TH ST STE K, SAN DIEGO, CA 92154-3497
(619) 428-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
91929
CA
Other
Enumeration date
06/21/2019
Last updated
09/27/2019
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