| Pacific Trauma Treatment Center | |
|
444 S Marengo Ave Pasadena CA 91101-3113 | |
| (310) 738-4232 | |
| Not Available |
| Full Name | Pacific Trauma Treatment Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 444 S Marengo Ave, Pasadena, California |
| Authorized Official Name and Position | Jacqueline Giana Woods (OWNER) |
| Authorized Official Contact | 3107384232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Trauma Treatment Center Po Box 81184 San Marino CA 91118-1184 Ph: (310) 738-4232 | Pacific Trauma Treatment Center 444 S Marengo Ave Pasadena CA 91101-3113 Ph: (310) 738-4232 |
| NPI Number | 1457797953 |
|---|---|
| Provider Enumeration Date | 05/11/2013 |
| Last Update Date | 05/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457797953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC46170 (California) | Primary |
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