Individual
BEDAA ADEEB QERYAQUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
460 N MAGNOLIA AVE STE 110, EL CAJON, CA 92020-3610
(619) 440-5133
Mailing address
460 N MAGNOLIA AVE STE 110, EL CAJON, CA 92020-3610
(619) 440-5133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
135822
CA
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
08/16/2019
Last updated
03/10/2026
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