Organization
JEFF PALITZ MFT INC
Active
Other names
Eastlake Community Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DAVID PALITZ MFT (OWNER)
(619) 271-8886
Entity
Organization
Contact information
Practice address
2400 FENTON ST, SUITE 205, CHULA VISTA, CA 91914-3596
(619) 271-8886
(619) 414-1277
Mailing address
2400 FENTON ST, SUITE 205, CHULA VISTA, CA 91914-3596
(619) 271-8886
(619) 414-1277
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC41250
CA
Other
Enumeration date
04/17/2009
Last updated
04/13/2010
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