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Organization
PACIFICA NEUROPSYCHOLOGY CENTER, INC
Active
Organization
PACIFICA NEUROPSYCHOLOGY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIDA MARES (CLINICAL DIRECTOR)
(310) 547-0084
Entity
Organization
Contact information
Practice address
461 W 6TH ST STE 211, SAN PEDRO, CA 90731-2677
(310) 547-0084
Mailing address
461 W 6TH ST STE 211, SAN PEDRO, CA 90731-2677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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