| Organization Name: | SD CENTER FOR COUNSELING |
| NPI Number: | 1306117981 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTIANA KATARINA SILVA (PRESIDENT) |
| Mailing Address: | 12064 Woodside Ave Ste 105 Lakeside |
| State: | CA US |
| Postal Code: | 920402951 |
| Phone Number: | 6194157639 |
| Fax Number: | 8882914799 |
| NPI Enumeration Date: | 01/13/2012 |
| NPI Last Update Date: | 01/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 21878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |