Individual
MR. BRUCE PACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
2313 EL CAJON BLVD, SAN DIEGO, CA 92104-1105
(619) 260-6380
Mailing address
PO BOX 703, NATIONAL CITY, CA 91951-0703
(619) 336-6674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC41981
CA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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