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Organization

MADE WHOLE PSYCHOTHERAPY SERVICES, INC.

Active
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Organization

MADE WHOLE PSYCHOTHERAPY SERVICES, INC.

Active
Other names
Made Whole Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. OLLIS CARVER JR. MSAC, MSPC, LPCC (CEO, SR. THERAPIST)
(707) 642-5139
Entity
Organization

Contact information

Practice address
1100 ROSE DRIVE, SUITE 224, BENICIA, CA 94510-3608
(707) 642-5139
(707) 641-1104
Mailing address
PO BOX 6691, VALLEJO, CA 94591-1691
(707) 642-5139
(707) 641-1104

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—

Other

Enumeration date
05/23/2022
Last updated
11/17/2023
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