Healthcare Provider Details

I. General information

NPI: 1538080106
Provider Name (Legal Business Name): JOURNEY CONFLUENCE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 FORT STOCKTON DR STE H
SAN DIEGO CA
92103-1700
US

IV. Provider business mailing address

1111 FORT STOCKTON DR STE H
SAN DIEGO CA
92103-1700
US

V. Phone/Fax

Practice location:
  • Phone: 619-324-9177
  • Fax:
Mailing address:
  • Phone: 619-324-9177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: LAURA TODD
Title or Position: OWNER, LPCC
Credential: LPCC
Phone: 619-324-9177