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Organization
MENTAL WELLNESS CLUB LLC
Active
Organization
MENTAL WELLNESS CLUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AWNEE MITCHELL MA LMFT PPS (OWNER)
(209) 471-3856
Entity
Organization
Contact information
Practice address
510 S FAIRMONT AVE SUITE 2, LODI, CA 95240
(209) 471-3856
(209) 644-7606
Mailing address
7627 RIVER OTTER WAY, ELK GROVE, CA 95758
(209) 471-3856
(209) 644-7606
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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