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Organization
INSTITUTE OF MINDFUL THERAPY
Active
Organization
INSTITUTE OF MINDFUL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SORRENTA STUART LMFT (PRESIDENT)
(925) 963-5353
Entity
Organization
Contact information
Practice address
1250 PINE ST STE 100, WALNUT CREEK, CA 94596-3633
(925) 963-5353
Mailing address
1250 PINE ST STE 100, WALNUT CREEK, CA 94596-3633
(925) 963-5353
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
47901
CA
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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