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General NPI Number Information
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NPI Number | 1427993484
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGY AND WELLNESS INSTITUTE
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 12625 HIGH BLUFF DR STE 216
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City | SAN DIEGO
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State | CA
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Zip | 92130-2054
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Country | US
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Telephone | 858-699-2447
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Fax |
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Provider Business Mailing Address
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Address Line | 701 GARDEN VIEW CT
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City | ENCINITAS
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State | CA
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Zip | 92024-2464
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Country | US
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Telephone | 858-699-2447
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. SARAH ROCHE
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Credential | PHD
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Telephone | 858-699-2447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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