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Organization
PURE HEARTS CHILD AND FAMILY THERAPY CENTER INC.
Active
Organization
PURE HEARTS CHILD AND FAMILY THERAPY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ROGERS (PRESIDENT)
(619) 402-8913
Entity
Organization
Contact information
Practice address
15545 DEVONSHIRE ST STE 208, MISSION HILLS, CA 91345-2638
(619) 402-8913
Mailing address
15545 DEVONSHIRE ST STE 208, MISSION HILLS, CA 91345-2638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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