| Breathe Anger Management | |
|
904 N La Brea Ave Inglewood CA 90302-2226 | |
| (818) 378-0080 | |
| Not Available |
| Full Name | Breathe Anger Management |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 904 N La Brea Ave, Inglewood, California |
| Authorized Official Name and Position | Aquanetta Wilson Bankston (OWNER/PRESIDENT) |
| Authorized Official Contact | 8183780080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathe Anger Management 815 N La Brea Ave # 414 Inglewood CA 90302-2205 Ph: (818) 378-0080 | Breathe Anger Management 904 N La Brea Ave Inglewood CA 90302-2226 Ph: (818) 378-0080 |
| NPI Number | 1851086706 |
|---|---|
| Provider Enumeration Date | 04/06/2023 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851086706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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