Pacific Forenisc Psychology

NPI #1740472422 in Colton, California

Provider Information

NPI Number: 1740472422
Entity Type: Organization
Organization Name: Pacific Forenisc Psychology
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 15, 2007
Last Updated: Aug 15, 2007

Practice Location

Address: 1025 S MOUNT VERNON AVE STE A
City: Colton
State: California
ZIP Code: 92324-4226
Phone: (909) 783-1473

Authorized Official

Name: BRIAN STEWART CUNNINGHAM, LCSW
Title: DIRECTOR
Phone: (909) 783-1473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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