| Centennial Harvest Wellness Institute | |
|
2330 E Del Mar Blvd Pasadena CA 91107 | |
| (323) 917-1195 | |
| Not Available |
| Full Name | Centennial Harvest Wellness Institute |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2330 E Del Mar Blvd, Pasadena, California |
| Authorized Official Name and Position | Leeann Marie Nabors (PRESIDENT-CEO) |
| Authorized Official Contact | 3239171195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Harvest Wellness Institute 3355 N White Ave Unit 8287 La Verne CA 91750-6207 Ph: (323) 917-1195 | Centennial Harvest Wellness Institute 2330 E Del Mar Blvd Pasadena CA 91107 Ph: (323) 917-1195 |
| NPI Number | 1699400788 |
|---|---|
| Provider Enumeration Date | 07/21/2022 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699400788 | NPI | - | NPPES |
| 1831383272 | Other | CA | LICENSED MARRIAGE, FAMILY THERAPIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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