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Organization
MAXWELL FAMILY THERAPY SERVICES, INC
Active
Organization
MAXWELL FAMILY THERAPY SERVICES, INC
Active
Other names
Pacifica Group Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MAXWELL PSYD, LMFT #80504 (DIRECTOR)
(619) 664-4606
Entity
Organization
Contact information
Practice address
2851 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-3814
(619) 664-4606
Mailing address
2851 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-3814
(619) 664-4606
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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