Organization
CALIFORNIA PACIFIC COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN FORNES LMFT (CLINICAL DIRECTOR)
(714) 713-8890
Entity
Organization
Contact information
Practice address
770 1ST AVE STE 250, SAN DIEGO, CA 92101-6170
(714) 713-3890
Mailing address
620 STATE ST UNIT 421, SAN DIEGO, CA 92101-6725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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