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Organization
MINDFUL CLINICAL SERVICES, LLC
Active
Organization
MINDFUL CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA WRIGHT WAKACH LCSW (CO-FOUNDER, MINDFUL CLINICAL SERVIC)
(747) 228-2621
Entity
Organization
Contact information
Practice address
1923 1/2 WESTWOOD BLVD, SUITE 4, LOS ANGELES, CA 90025
(747) 228-2621
Mailing address
1923 1/2 WESTWOOD BLVD, SUITE 4, LOS ANGELES, CA 90025
(747) 228-2621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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