MAXINE DEFANK

SAN DIEGO, CA
NPI1063104677
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  LPCC22480)
Enumeration Date2023-05-23
Last Update Date2026-06-11
Business Address
MAXINE DEFANK LPCC
PO BOX 500642
SAN DIEGO, CA 92150-0642
Phone number: 850-564-6130
Mailing Address
MAXINE DEFANK LPCC
PO BOX 500642
SAN DIEGO, CA 92150-0642
Phone number: