Provider Demographics
NPI:1871269332
Name:RESET COUNSELING SERVICES
Entity Type:Organization
Organization Name:RESET COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACK-HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LMFT
Authorized Official - Phone:951-805-3467
Mailing Address - Street 1:41197 GOLDEN GATE CIR STE 207
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6999
Mailing Address - Country:US
Mailing Address - Phone:951-805-3467
Mailing Address - Fax:951-370-0503
Practice Address - Street 1:41197 GOLDEN GATE CIR STE 207
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-6999
Practice Address - Country:US
Practice Address - Phone:951-805-3467
Practice Address - Fax:951-370-0503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty