Gregory Glen Maxwell, LMFT
Marriage & Family Therapist in Palmdale, CA. Individual provider (NPI-1).
NPI number1215599485
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1215599485
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gregory Glen Maxwell
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2019
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 128748 | CA | Yes |
Practice location
320 E Palmdale BlvdPalmdale, CA 93550-4598
Phone 661-729-9000
Mailing address
Po Box 5412Lancaster, CA 93539-5412
Phone 661-478-8884
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All 169 Marriage & Family Therapist providers in Palmdale · All 2,795 providers in Palmdale
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