# PALACIOS THERAPEUTIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063974384
- **Authorized official:** MS. MERCEDES PRISCILLA PALACIOS M.A., LMFT (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (408) 634-2971

## Contact information

- **Practice address:** 1190 S BASCOM AVE STE 130, SAN JOSE, CA 95128-3512
- **Practice address phone:** (408) 634-2971
- **Mailing address:** 3480 CARTER DR UNIT 202, SOUTH SAN FRANCISCO, CA 94080-5018
- **Mailing address phone:** (323) 388-9212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2019
- **Last updated:** 04/04/2019