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Organization
FULL CIRCLE WELLNESS COLLECTIVE, INC.
Active
Organization
FULL CIRCLE WELLNESS COLLECTIVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAHRZAD AZARAFZA LCSW (PRESIDENT/FOUNDER & PSYCHOTHERAPIST)
(714) 406-0454
Entity
Organization
Contact information
Practice address
3151 AIRWAY AVE STE F120, COSTA MESA, CA 92626-4623
(714) 406-0454
(714) 617-2934
Mailing address
3151 AIRWAY AVE STE F120, COSTA MESA, CA 92626-4623
(714) 406-0454
(714) 617-2934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215381538
—
CA
Enumeration date
12/26/2022
Last updated
04/17/2024
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