Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Justin William Packham, MA, AMFT, APCC

Individual provider Mental Health Counselor · NPI 1679442370

Miss. Justin William Packham, MA, AMFT, APCC is a Mental Health Counselor in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

3400 Central Ave Ste 310
Riverside, CA 92506-2181
Phone: (951) 499-5537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 158001 (CA)

Record details

NPI number1679442370
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , AMFT , APCC
Sole proprietorYes
NPI enumeratedOctober 31, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

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