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

Mrs. Michelle Pack

Individual provider Marriage & Family Therapist · NPI 1356944169

Mrs. Michelle Pack is a Marriage & Family Therapist in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

11821 Kettering Ct
Moreno Valley, CA 92557-6136
Phone: (951) 805-9540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 85040 (CA)

Record details

NPI number1356944169
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020

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