Individual
VANESSA KILLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 30TH ST STE K, SAN DIEGO, CA 92154-3497
(619) 428-1000
Mailing address
1465 30TH ST STE K, SAN DIEGO, CA 92154-3497
(619) 428-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC12256
CA
101YP2500X
Professional Counselor
Primary
APCC12256
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/11/2016
Last updated
08/12/2025
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