Organization
CENTER FOR REFLECTIVE PRACTICE
Active
Parent organization
CENTER FOR THOUGHTFUL LASTING CHANGE
Other names
Center for Thoughtful Lasting Change
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR THOUGHTFUL LASTING CHANGE
Authorized official
SHERRY CASPER PHD (OWNER)
(619) 369-5050
Entity
Organization
Contact information
Practice address
9606 TIERRA GRANDE ST STE 201, SAN DIEGO, CA 92126-6501
(619) 369-5050
(877) 485-5961
Mailing address
PO BOX 421146, SAN DIEGO, CA 92142-1146
(619) 369-5050
(877) 485-5961
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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