# GLEN F PASTORES

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

## Provider details

- **NPI number:** 1235784968
- **Authorized official:** GLEN F PASTORES LMFT (OWNER/LMFT)
- **Authorized official phone:** (858) 987-4848

## Contact information

- **Practice address:** 1761 HOTEL CIR S STE 380, SAN DIEGO, CA 92108-3318
- **Practice address phone:** (858) 987-4848
- **Practice address fax:** (858) 987-4849
- **Mailing address:** 1761 HOTEL CIR S STE 300, SAN DIEGO, CA 92108-3318
- **Mailing address phone:** (858) 987-4848
- **Mailing address fax:** (858) 987-4849

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2019
- **Last updated:** 02/24/2020
