Individual
ANDREW SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2423 CAMINO DEL RIO S STE 101, SAN DIEGO, CA 92108-3734
(619) 241-2309
Mailing address
PO BOX 420924, SAN DIEGO, CA 92142-0924
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT144176
CA
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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