| Wellness Company A Ca Family Therapist Professional Corporation | |
|
1212 W Gardena Blvd Ste B Gardena CA 90247-4896 | |
| (209) 361-4281 | |
| Not Available |
| Full Name | Wellness Company A Ca Family Therapist Professional Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1212 W Gardena Blvd Ste B, Gardena, California |
| Authorized Official Name and Position | Anika J. Grant (CEO, CFO, SECRETARY, AND DIRECTOR) |
| Authorized Official Contact | 2093614281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Company A Ca Family Therapist Professional Corporation Po Box 690986 Stockton CA 95269-0986 Ph: (209) 361-4281 | Wellness Company A Ca Family Therapist Professional Corporation 1212 W Gardena Blvd Ste B Gardena CA 90247-4896 Ph: (209) 361-4281 |
| NPI Number | 1992487243 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992487243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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