Healthcare Provider Details

I. General information

NPI: 1770310310
Provider Name (Legal Business Name): ASHLEY PACULBA, A MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35070 ORCHARD CREST CT
WINCHESTER CA
92596-8418
US

IV. Provider business mailing address

39525 LOS ALAMOS ROAD STE C #176
MURRIETA CA
92563
US

V. Phone/Fax

Practice location:
  • Phone: 951-391-7240
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY PACULBA
Title or Position: OWNER
Credential: LMFT
Phone: 951-391-7240