Organization
DR JACOB ANDREW PAULSEN PHD LICENSED CLINICAL PSYCHOLOGIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB ANDREW PAULSEN PH.D. (CEO)
(619) 800-5499
Entity
Organization
Contact information
Practice address
1399 9TH AVE APT 1517, SAN DIEGO, CA 92101-4700
(619) 800-5499
Mailing address
PO BOX 3573, SAN DIEGO, CA 92163-1573
(619) 800-5499
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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