Organization
M&M FAMILY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALCOLM ANDREW BEREAN MA (LMFT)
(209) 327-0588
Entity
Organization
Contact information
Practice address
1213 W LOCKEFORD ST, LODI, CA 95240-1635
(209) 327-0588
(209) 367-8563
Mailing address
509 SANTEE CT, LODI, CA 95242-2038
(209) 327-0588
(209) 367-8563
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
38325
CA
251S00000X
Community/Behavioral Health Agency
38326
CA
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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