Organization
VICTORVILLE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYADA MARZOUK LMFT (CLINICIAN)
(951) 333-7363
Entity
Organization
Contact information
Practice address
15431 ANACAPA RD, SUITE # D, VICTORVILLE, CA 92392
(951) 333-7363
(760) 240-3728
Mailing address
15431 ANACAPA RD, SUITE # D, VICTORVILLE, CA 92392
(951) 333-7363
(760) 240-3728
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MFC # 53104
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
MFC # 53104
CA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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