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Organization
ELEVATED LIFE
Active
Organization
ELEVATED LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA MARSHALL LMFT, PPS (OWNER/ LMFT)
(909) 437-0765
Entity
Organization
Contact information
Practice address
818 N MOUNTAIN AVE STE 219, UPLAND, CA 91786-4165
(909) 437-0765
(909) 854-5880
Mailing address
PO BOX 1887, RANCHO CUCAMONGA, CA 91729-1887
(909) 437-0765
(909) 854-5880
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
45458
CA
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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