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Organization
PACHAMAMA THERAPY COLLECTIVE, A PSYCHOLOGICAL PC
Active
Organization
PACHAMAMA THERAPY COLLECTIVE, A PSYCHOLOGICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVONNE MEJIA PSYD (OWNER/CLINICAL PSYCHOLOGIST)
(916) 287-1625
Entity
Organization
Contact information
Practice address
2011 P ST STE 106, SACRAMENTO, CA 95811-5225
(916) 287-1625
Mailing address
2958 RIVERSIDE BLVD, SACRAMENTO, CA 95818-3762
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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