| Glen F Pastores | |
|
1761 Hotel Cir S Ste 380 San Diego CA 92108-3318 | |
| (858) 987-4848 | |
| (858) 987-4849 |
| Full Name | Glen F Pastores |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1761 Hotel Cir S Ste 380, San Diego, California |
| Authorized Official Name and Position | Glen F Pastores (OWNER/LMFT) |
| Authorized Official Contact | 8589874848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen F Pastores 1761 Hotel Cir S Ste 300 San Diego CA 92108-3318 Ph: (858) 987-4848 | Glen F Pastores 1761 Hotel Cir S Ste 380 San Diego CA 92108-3318 Ph: (858) 987-4848 |
| NPI Number | 1235784968 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 02/24/2020 |
| Certification Date | 02/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235784968 | NPI | - | NPPES |
| LMFT94162 | Other | CA | STATE OF CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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