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Organization

SKIPPERGOSH THERAPY LICENSED CLINICAL SOCIAL WORKER INC

Active
Other names
Skippergosh Therapy and Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTYNE SKIPPERGOSH LCSW (CEO)
(616) 340-6820
Entity
Organization

Contact information

Practice address
5252 BALBOA AVE STE 800, SAN DIEGO, CA 92117-6970
(619) 404-0578
Mailing address
7777 WESTSIDE DR APT 445, SAN DIEGO, CA 92108-1240
(616) 340-6820

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
10/07/2022
Last updated
10/07/2022
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