| Pam Mikolajczyk Marriage & Family Therapist, A Professional Corporatio | |
|
18 Oak St #197 Brentwood CA 94513-1301 | |
| (925) 628-1516 | |
| Not Available |
| Full Name | Pam Mikolajczyk Marriage & Family Therapist, A Professional Corporatio |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 18 Oak St #197, Brentwood, California |
| Authorized Official Name and Position | Pam Mikolajczyk (PRESIDENT) |
| Authorized Official Contact | 9256281516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pam Mikolajczyk Marriage & Family Therapist, A Professional Corporatio 18 Oak St #197 Brentwood CA 94513-1301 Ph: () - | Pam Mikolajczyk Marriage & Family Therapist, A Professional Corporatio 18 Oak St #197 Brentwood CA 94513-1301 Ph: (925) 628-1516 |
| NPI Number | 1538695945 |
|---|---|
| Provider Enumeration Date | 05/04/2017 |
| Last Update Date | 05/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538695945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MFC40714 (California) | Primary |
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