Healthcare Provider Details

I. General information

NPI: 1669450698
Provider Name (Legal Business Name): PALOMAR FDAMILY COUNSELING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 E GRAND AVE
ESCONDIDO CA
92025-4605
US

IV. Provider business mailing address

1002 E GRAND AVE
ESCONDIDO CA
92025-4605
US

V. Phone/Fax

Practice location:
  • Phone: 760-741-2660
  • Fax: 760-741-2647
Mailing address:
  • Phone: 760-741-2660
  • Fax: 760-741-2647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4016
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number6728
License Number StateCA

VIII. Authorized Official

Name: MRS. IRENE SAPER
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW MFT
Phone: 760-741-2660