Organization
AVINA PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANY AVINA PSY.D (OWNER)
(858) 751-9259
Entity
Organization
Contact information
Practice address
4455 MURPHY CANYON RD STE 206, SAN DIEGO, CA 92123-4379
(858) 751-8258
Mailing address
4455 MURPHY CANYON RD STE 206, SAN DIEGO, CA 92123-4379
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/17/2023
Last updated
10/23/2023
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