| Rancho Family Counseling, Inc. | |
|
28999 Old Town Front St Suite 202 Temecula CA 92590-5805 | |
| (951) 764-0537 | |
| Not Available |
| Full Name | Rancho Family Counseling, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 28999 Old Town Front St, Temecula, California |
| Authorized Official Name and Position | Tracy Diane Tacquard (OWNER) |
| Authorized Official Contact | 9517640537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Family Counseling, Inc. 28999 Old Town Front St Suite 202 Temecula CA 92590-5805 Ph: (951) 764-0537 | Rancho Family Counseling, Inc. 28999 Old Town Front St Suite 202 Temecula CA 92590-5805 Ph: (951) 764-0537 |
| NPI Number | 1235439332 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235439332 | NPI | - | NPPES |
| 1154471530 | Other | CA | INDIVIDUAL NPI AS LMFT |
| MFC 38834 | Other | CA | LICENSED MARRIAGE FAMILY THERAPIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFC38834 (California) | Primary |
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