Individual provider · Type 1 NPI

Justin William Packham, MA, AMFT, APCC

Mental Health Counselor · Riverside, CA

NPI number 1679442370 Active

Practice location

3400 Central Ave Ste 310
Riverside, CA 92506-2181

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X158001 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1679442370

Justin William Packham, MA, AMFT, APCC's National Provider Identifier is 1679442370, issued on Oct 31, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on Oct 31, 2025.