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NPI Code Detail

MEDICARE: ENCOURAGERS FAMILY COUNSELING, INC.

MEDICARE: ENCOURAGERS FAMILY COUNSELING, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TM1800XIntellectual & Developmental Disabilities Psychologist
2103TP2701XGroup Psychotherapy Psychologist

General Provider Information

NPI Number : 1235787821
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENCOURAGERS FAMILY COUNSELING, INC.
Provider Business Mailing Address
First Line : 29970 TECHNOLOGY DR STE 212
Second Line :
City : MURRIETA
State : CA
Zip : 92563-2649
Country : US
Telephone Number : 951-900-4414
Fax Number : 951-880-0817
Provider Business Practice Location Address
First Line : 29970 TECHNOLOGY DR STE 212
Second Line :
City : MURRIETA
State : CA
Zip : 92563-2649
Country : US
Telephone Number : 951-900-4414
Fax Number : 951-880-0817
Authorized Official
Title or Position : CEO
Name : VICKI M COFFMAN
Credential : LMFT
Telephone Number : 951-900-4414
Provider Enumeration Date : 08/28/2019
Last Update Date : 09/07/2024

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Directions to “ENCOURAGERS FAMILY COUNSELING, INC. ” Practice Location

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