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Organization
REFLECTIVE PRACTICES THERAPEUTIC SERVICES
Active
Organization
REFLECTIVE PRACTICES THERAPEUTIC SERVICES
Active
Other names
Reflective Practices
Organization subpart
No
Provider details
NPI number
Authorized official
CONCEPCION LEONA SOUSA LCSW (OWNER)
(707) 682-9331
Entity
Organization
Contact information
Practice address
1100 MAIN ST STE C, FORTUNA, CA 95540-2148
(707) 682-9331
(707) 306-7449
Mailing address
1100 MAIN ST STE C, FORTUNA, CA 95540-2148
(707) 682-9331
(707) 306-7449
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346422672
INDIVIDUAL NPI
CA
Enumeration date
03/25/2022
Last updated
03/25/2022
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