| Boundless Family Therapy & Wellness Pc | |
|
12600 Wycliff Ln Victorville CA 92392-4836 | |
| (909) 254-6153 | |
| Not Available |
| Full Name | Boundless Family Therapy & Wellness Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12600 Wycliff Ln, Victorville, California |
| Authorized Official Name and Position | Kathleen Ellen Jansen (PRESIDENT) |
| Authorized Official Contact | 9092416153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boundless Family Therapy & Wellness Pc 12600 Wycliff Ln Victorville CA 92392-4836 Ph: (909) 254-6153 | Boundless Family Therapy & Wellness Pc 12600 Wycliff Ln Victorville CA 92392-4836 Ph: (909) 254-6153 |
| NPI Number | 1477425262 |
|---|---|
| Provider Enumeration Date | 09/22/2025 |
| Last Update Date | 09/22/2025 |
| Certification Date | 09/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477425262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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