| NPI | 1770115750 |
|---|---|
| Former Legal Business Name | MAK COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MEGAN KORNBLUTH Owner 805-708-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-11-10 |