Provider Demographics
NPI:1700542719
Name:ADAM MARKLE LMFT
Entity Type:Organization
Organization Name:ADAM MARKLE LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:MARKLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT 122790
Authorized Official - Phone:619-708-2493
Mailing Address - Street 1:3681 KEATING ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-1918
Mailing Address - Country:US
Mailing Address - Phone:619-708-2493
Mailing Address - Fax:
Practice Address - Street 1:3681 KEATING ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-1918
Practice Address - Country:US
Practice Address - Phone:619-708-2493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-14
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health