Healthcare Provider Details

I. General information

NPI: 1912367897
Provider Name (Legal Business Name): TURNING POINT COUNSELING FIRM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2016
Last Update Date: 03/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5532 EL CAJON BLVD STE 4
SAN DIEGO CA
92115-3642
US

IV. Provider business mailing address

7287 BLACKTON DR
LA MESA CA
91941-7512
US

V. Phone/Fax

Practice location:
  • Phone: 619-865-1016
  • Fax:
Mailing address:
  • Phone: 619-865-1016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: JEFFREY ANDREW GORDON
Title or Position: MS PSYCHOLOGY
Credential:
Phone: 619-865-1016