NPI: 1295387603
Provider Name: SOUL RENEWAL COUNSELING, INC
Doing Business As: SOUL RENEWAL FAMILY COUNSELING, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization
Specialization: Mental Health
Address:
7737 PACIFIC AVE
LEMON GROVE, CA
ZIP 91945
Phone: (619) 438-0880
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SOUL RENEWAL COUNSELING, INC is a mental health counselor in Lemon Grove, CA. SOUL RENEWAL COUNSELING, INC NPI is 1295387603. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Soul Renewal Family Counseling, Inc..
The provider's business location address is:
7737 PACIFIC AVE
LEMON GROVE, CA
ZIP 91945-740
Phone: (619) 438-0880
The provider's authorized official is Patricia Johnson Mims .
The authorized official title is Director and has the following contact phone number (619) 439-2499.
The enumeration date for this NPI number is 7/15/2019 and was last updated on 3/23/2020.