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Organization
PANGANIBAN MARRIAGE AND FAMILY THERAPY INC.
Active
Organization
PANGANIBAN MARRIAGE AND FAMILY THERAPY INC.
Active
Other names
PANGANIBAN THERAPY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY DIRKS PANGANIBAN LMFT (OWNER/PRESIDENT)
(858) 361-6016
Entity
Organization
Contact information
Practice address
16935 W BERNARDO DR STE 122, SAN DIEGO, CA 92127-1623
(858) 868-5558
Mailing address
13223 BLACK MOUNTAIN RD # 346, SAN DIEGO, CA 92129-2698
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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