Organization
MAGNOLIA CHILD AND FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY RUSK MSW, LCSW (OWNER)
(765) 376-2523
Entity
Organization
Contact information
Practice address
24093 GRAFTON AVE, MURRIETA, CA 92562-5317
(765) 376-2523
Mailing address
24093 GRAFTON AVE, MURRIETA, CA 92562-5317
(765) 376-2523
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
02/17/2026
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