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Organization
INDIVIDUAL & FAMILY COUNSELING CLINIC FOR HEALING & CHANGE PROFES
Active
Organization
INDIVIDUAL & FAMILY COUNSELING CLINIC FOR HEALING & CHANGE PROFES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE LINDSAY VANDEKERCKHOVE (OWNER)
(217) 415-4754
Entity
Organization
Contact information
Practice address
9854 NEW HOPE RD, GALT, CA 95632-8807
(209) 406-0445
Mailing address
9854 NEW HOPE RD, GALT, CA 95632-8807
(209) 406-0445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679843270
—
CA
Enumeration date
10/13/2022
Last updated
09/29/2025
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