DALLAS FOTINOS
NPI 1912486424
Counselor - Professional in San Diego, CA

Active since August 07, 2018
3027 FLEMING DR, SAN DIEGO, CA 92139(858) 442-6355 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 26, 2021, Aug 7, 2018 (2 updates tracked since 2018).

  • Individual
  • Female
  • Counselor
  • Professional

About DALLAS FOTINOS

This page provides the complete NPI Profile along with additional information for Dallas Fotinos, a provider established in San Diego, California with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1912486424 assigned on August 2018. The practitioner's primary taxonomy code is 101YP2500X with license number 7115 (CA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1912486424 Verify this NPI
Provider Name
DALLAS FOTINOS
Gender
Female
Entity Type
Individual
Location Address
3027 FLEMING DR SAN DIEGO, CA 92139
Location Phone
(858) 442-6355
Mailing Address
3027 FLEMING DR SAN DIEGO, CA 92139
Mailing Phone
(858) 442-6355
Is Sole Proprietor?
Yes
Enumeration Date
08-07-2018
Last Update Date
08-26-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
7115
License State
CA

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Residential Treatment Facility, Emotionally Disturbed Children
3027 FLEMING DR
SAN DIEGO, CA 92139
Rehabilitation Practitioner
3027 FLEMING DR
SAN DIEGO, CA 92139
Rehabilitation Practitioner
3027 FLEMING DR
SAN DIEGO, CA 92139

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912486424, enumerated as an "individual" on August 07, 2018.

The provider is located at 3027 FLEMING DR SAN DIEGO, CA 92139 and the phone number is (858) 442-6355.

Counselor with taxonomy code 101YP2500X and a focus in Professional.