Organization
ACES MH SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE JANA (CHIEF ADMINISTRATIVE OFFICER)
(855) 223-7123
Entity
Organization
Contact information
Practice address
3684 4TH AVE APT 1, SAN DIEGO, CA 92103-4176
(855) 223-7123
(619) 374-7134
Mailing address
3684 4TH AVE APT 1, SAN DIEGO, CA 92103-4176
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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