Provider Information for 1699339457
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Mr. JAMES PATRICK CLIFFORD LPCC
Sex: Male
NPI: 1699339457
Last Updated: 2022-01-07
Certification Date: 2022-01-07
Certification Date: 2022-01-07
Details
| Name | Value | |||||||||||||||||||||
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| NPI | 1699339457 | |||||||||||||||||||||
| Enumeration Date | 2019-04-26 | |||||||||||||||||||||
| NPI Type | NPI-1 Individual | |||||||||||||||||||||
| Sole Proprietor | NO | |||||||||||||||||||||
| Status | Active | |||||||||||||||||||||
| Mailing Address | 4660 PALM AVE SAN DIEGO, CA 92154-8404 United States Phone: 619-662-5512 | Fax:619-662-5307 | |||||||||||||||||||||
| Primary Practice Address | 4660 PALM AVE SAN DIEGO, CA 92154-8404 United States Phone: 619-662-5512 | Fax:619-662-5307 | |||||||||||||||||||||
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