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Malcolm Bernard Lilienthal Jr., MS

Marriage & Family Therapist in Hemet, CA. Individual provider (NPI-1).

NPI number1669972295
StatusActive
Last updated in NPPESJun 12, 2020

Details

NPI
1669972295
Entity type
Individual (NPI-1)
Name
Malcolm Bernard Lilienthal Jr.
Credential
MS
Sex
Male
Sole proprietor
No
Enumeration date
Feb 20, 2018
Certification date
Jun 12, 2020
Last updated
Jun 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist101046CAYes

Practice location

464 S Palm Ave
Hemet, CA 92543-4808

Phone 951-694-2072

Mailing address

765 Balsam Way
Hemet, CA 92545-6863

Phone 951-694-2072

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