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Organization
MIND OVER MATTER INDIVIDUAL AND FAMILY THERAPY, INC.
Active
Organization
MIND OVER MATTER INDIVIDUAL AND FAMILY THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL POHL (PRESIDENT/CEO)
(949) 414-4147
Entity
Organization
Contact information
Practice address
12792 VALLEY VIEW ST STE 206, GARDEN GROVE, CA 92845-2510
(949) 414-4147
Mailing address
12792 VALLEY VIEW ST STE 206, GARDEN GROVE, CA 92845-2510
(949) 414-4147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
101YS0200X
School Counselor
—
NULL
101YS0200X
School Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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