| Pacific Psychotherapy Marriage And Family Therapy Corporation Pc | |
|
3121 Park Ave Ste F Soquel CA 95073-2956 | |
| (831) 204-0131 | |
| Not Available |
| Full Name | Pacific Psychotherapy Marriage And Family Therapy Corporation Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3121 Park Ave Ste F, Soquel, California |
| Authorized Official Name and Position | Harold Connor Moss (PSYCHOTHERAPY) |
| Authorized Official Contact | 8312040131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Psychotherapy Marriage And Family Therapy Corporation Pc 3121 Park Ave Ste F Soquel CA 95073-2956 Ph: (831) 204-0131 | Pacific Psychotherapy Marriage And Family Therapy Corporation Pc 3121 Park Ave Ste F Soquel CA 95073-2956 Ph: (831) 204-0131 |
| NPI Number | 1053010728 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053010728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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