Organization
JH THERAPEUTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JARON DANIEL HAYNES I LMFT (OWNER)
(619) 395-3657
Entity
Organization
Contact information
Practice address
8619 INNSDALE LN, SAN DIEGO, CA 92114-7431
(619) 395-3657
Mailing address
575 OTAY LAKES RD UNIT 13, CHULA VISTA, CA 91913-1022
(619) 395-3657
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15288242070
MENTAL HEALTH
CA
Enumeration date
01/31/2023
Last updated
06/09/2023
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