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Organization

EATING DISORDER AND OCD THERAPY, A PROFESSIONAL CLINICAL COUNSELOR COR

Active
Other names
Eating Disorder & OCD Therapy, a professional clinical counselor corpo
Organization subpart
No

Provider details

NPI number
Authorized official
ALLYSON FORD LPCC (OWNER, CEO)
(253) 414-7498
Entity
Organization

Contact information

Practice address
1804 CABLE ST, SAN DIEGO, CA 92107-3141
(619) 839-9155
Mailing address
421 BROADWAY # 5064, SAN DIEGO, CA 92101-5107
(619) 839-9155

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1790210383
NPI
CA
Enumeration date
01/24/2023
Last updated
01/24/2023
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