Organization
PAM MIKOLAJCZYK MARRIAGE & FAMILY THERAPIST, A PROFESSIONAL CORPORATIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM MIKOLAJCZYK (PRESIDENT)
(925) 628-1516
Entity
Organization
Contact information
Practice address
18 OAK ST #197, BRENTWOOD, CA 94513-1301
(925) 628-1516
Mailing address
18 OAK ST #197, BRENTWOOD, CA 94513-1301
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MFC40714
CA
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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