Organization
M2JC PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID FARJELLAH PHD (CLINICAL PSYCHOLOGIST)
(210) 844-7028
Entity
Organization
Contact information
Practice address
8103 PURPLE ASTER PASS, LAGO VISTA, TX 78645-2294
(210) 844-7028
Mailing address
8103 PURPLE ASTER PASS, LAGO VISTA, TX 78645-2294
(210) 844-7028
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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