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Organization
SOUL RENEWAL FAMILY COUNSELING INC
Active
Organization
SOUL RENEWAL FAMILY COUNSELING INC
Active
Other names
Soul Renewal Family Counseling, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA JOHNSON MIMS LMFT (DIRECTOR)
(619) 439-2499
Entity
Organization
Contact information
Practice address
7737 PACIFIC AVE, LEMON GROVE, CA 91945-1740
(619) 438-0880
Mailing address
7737 PACIFIC AVE, LEMON GROVE, CA 91945-1740
(619) 439-2499
(619) 439-2455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
03/08/2024
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