MEDICARE: MESKIN COUNSELING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MY14138	CA

General Provider Information

NPI Number	:	1992857528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MESKIN COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	1205 PACIFIC HWY
Second Line	:	1902
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-3327
Country	:	US
Telephone Number	:	760-940-0880
Fax Number	:	760-930-9157

Provider Business Practice Location Address
First Line	:	2831 CAMINO DEL RIO S
Second Line	:	211
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3802
Country	:	US
Telephone Number	:	760-940-0880
Fax Number	:	760-930-9157

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HARVE S MESKIN
Credential	:	ED.D., MFT
Telephone Number	:	760-940-0880

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	08/22/2020

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