MEDICARE: CELINE M PAGANINI PSYCHOTHERAPY 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
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1629656897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CELINE M PAGANINI PSYCHOTHERAPY INC

Provider Business Mailing Address
First Line	:	322 S PADRE JUAN AVE
Second Line	:
City	:	OJAI
State	:	CA
Zip	:	93023-2232
Country	:	US
Telephone Number	:	323-380-0017
Fax Number	:

Provider Business Practice Location Address
First Line	:	322 S PADRE JUAN AVE
Second Line	:
City	:	OJAI
State	:	CA
Zip	:	93023-2232
Country	:	US
Telephone Number	:	323-380-0017
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. CELINE MARILL PAGANINI
Credential	:	LMFT
Telephone Number	:	323-380-0017

Provider Enumeration Date	:	03/30/2021
Last Update Date	:	07/27/2023

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