Provider Demographics
NPI:1801627492
Name:CLEAR MIND COUNSELING SAN DIEGO
Entity type:Organization
Organization Name:CLEAR MIND COUNSELING SAN DIEGO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:858-750-7379
Mailing Address - Street 1:2564 NAVARRA DR UNIT 214
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-7073
Mailing Address - Country:US
Mailing Address - Phone:760-519-0858
Mailing Address - Fax:
Practice Address - Street 1:7676 HAZARD CENTER DR STE 340
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4543
Practice Address - Country:US
Practice Address - Phone:858-750-7379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty