Organization
THERAPY FOR BLACK WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERISHA LACRAE RUTLIN LPCC (OWNER)
(619) 784-4978
Entity
Organization
Contact information
Practice address
5353 BALTIMORE DR, LA MESA, CA 91942-4607
(619) 784-4978
Mailing address
5405 BALTIMORE DR APT 31, LA MESA, CA 91942-5019
(314) 625-6070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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