Organization
COUNTY OF SAN DIEGO
Active
Other names
Enhanced Care Coordination
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA R WATSON LPCC (BEHAVIORAL HEALTH PROGRAM MANAGER)
(619) 907-1850
Entity
Organization
Contact information
Practice address
1250 MORENA BLVD, SAN DIEGO, CA 92110-3815
(619) 907-1850
(619) 567-4061
Mailing address
1250 MORENA BLVD, SAN DIEGO, CA 92110-3815
(619) 907-1850
(619) 567-4061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163W00000X
Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/31/2024
Last updated
12/05/2024
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