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Organization
SERENA KAMDAR MAZZOLA PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Organization
SERENA KAMDAR MAZZOLA PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Other names
Family Development Collective, Blackhawk Family Development Center, Surina Kamdar Mazzola Professional Psychology Corporation, Newport Beach Family Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
SERENA MAZZOLA (PRESIDENT)
(925) 549-2610
Entity
Organization
Contact information
Practice address
4155 BLACKHAWK PLAZA CIR STE 101, DANVILLE, CA 94506-4829
(925) 683-4884
Mailing address
4155 BLACKHAWK PLAZA CIR STE 101, DANVILLE, CA 94506-4829
(925) 683-4884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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