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2425 Porter St Ste 7 Soquel CA 95073-2454 | |
| (831) 464-1419 | |
| (831) 476-7529 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2425 Porter St Ste 7, Soquel, California |
| Authorized Official Name and Position | Langdon Se Roberts (CEO) |
| Authorized Official Contact | 8312396353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2425 Porter St Ste 7 Soquel CA 95073-2454 Ph: (831) 464-1419 | 2425 Porter St Ste 7 Soquel CA 95073-2454 Ph: (831) 464-1419 |
| NPI Number | 1346776226 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 12/11/2020 |
| Certification Date | 12/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346776226 | NPI | - | NPPES |
Pacific Psychotherapy Marriage And Family Therapy Corporation Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3121 Park Ave Ste F, Soquel, CA 95073 Phone: 831-204-0131 | |
Mountain Elementary School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3042 Old San Jose Rd, Soquel, CA 95073 Phone: 831-887-8236 Fax: 831-464-7200 | |
Karen I. Michaels Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5905 Soquel Dr, Ste. 550, Soquel, CA 95073 Phone: 831-234-0314 Fax: 831-685-0350 | |