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39281 Via Pamplona Murrieta CA 92563-5023 | |
| (951) 319-5293 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 39281 Via Pamplona, Murrieta, California |
| Authorized Official Name and Position | Venecia Ebneof (OWNER) |
| Authorized Official Contact | 9513195293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
39281 Via Pamplona Murrieta CA 92563-5023 Ph: (951) 319-5293 | 39281 Via Pamplona Murrieta CA 92563-5023 Ph: (951) 319-5293 |
| NPI Number | 1487259578 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 12/10/2020 |
| Certification Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487259578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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