MAXWELL SHACK

SANTA ANA, CA
NPI1619836020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  21497)
Enumeration Date2026-01-20
Last Update Date2026-01-20
Business Address
MAXWELL SHACK
505 N TUSTIN AVE STE 265
SANTA ANA, CA 92705-3775
Phone number: 866-766-4935
Mailing Address
MAXWELL SHACK
505 N TUSTIN AVE STE 265
SANTA ANA, CA 92705-3775
Phone number:
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