Individual
MS. MARY J TICHACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC, PMHCNS
Contact information
Practice address
11515 EL CAMINO REAL STE 100, SAN DIEGO, CA 92130-3034
(858) 279-1223
Mailing address
11515 EL CAMINO REAL STE 100, SAN DIEGO, CA 92130-3034
(858) 279-1223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202048
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024198
CA
364S00000X
Clinical Nurse Specialist
207
CA
Other
Enumeration date
11/20/2019
Last updated
10/29/2025
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