Individual
COURTNEY SIMONE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4094 4TH AVE, SAN DIEGO, CA 92103-2143
(619) 515-2545
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(760) 741-6645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
74722
CA
104100000X
Social Worker
Primary
98425
CA
Other
Enumeration date
10/21/2016
Last updated
09/07/2023
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