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Provider Information for 1801374533


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Mrs. TERESA LEAN PARIS LMFT


Sex: Female

NPI: 1801374533
Last Updated: 2024-02-29
Certification Date: 2024-02-29

Details

NameValue
NPI1801374533
Enumeration Date2018-08-03
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 10201 MISSION GORGE RD STE O
SANTEE, CA 92071-3040
United States

Phone: 619-383-6868 | Fax:619-312-2661
 
Primary Practice Address 10201 MISSION GORGE RD STE O
SANTEE, CA 92071-3040
United States

Phone: 619-383-6868 | Fax:619-312-2661
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
SOAP URL
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Carequality
Health Information Exchange (HIE) C-CDA Southern California Permanente Medical Group 4647 Zion Ave
San Diego, CA 92120-2507
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CALMFT143912