# MAXWELL FAMILY THERAPY SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacifica Group Counseling and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891452595
- **Authorized official:** DR. MARK MAXWELL PSYD, LMFT \#80504 (DIRECTOR)
- **Authorized official phone:** (619) 664-4606

## Contact information

- **Practice address:** 2851 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-3814
- **Practice address phone:** (619) 664-4606
- **Mailing address:** 2851 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-3814
- **Mailing address phone:** (619) 664-4606

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2021
- **Last updated:** 11/17/2021