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Organization
BREATHE FAMILY COUNSELING AND WELLNESS CENTER
Active
Organization
BREATHE FAMILY COUNSELING AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE G PARKER DR (PRESIDENT)
(310) 251-4170
Entity
Organization
Contact information
Practice address
201 CONTINENTAL BLVD STE 120, EL SEGUNDO, CA 90245-4513
(310) 251-4170
Mailing address
200 E MAPLE AVE, EL SEGUNDO, CA 90245-2330
(310) 872-8183
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
100740
CA
106H00000X
Marriage & Family Therapist
49375
CA
106H00000X
Marriage & Family Therapist
87566
CA
106H00000X
Marriage & Family Therapist
90365
CA
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/31/2016
Last updated
08/17/2026
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