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Organization
THERAPY MISSION LICENSED CLINICAL SOCIAL WORKER PC
Active
Organization
THERAPY MISSION LICENSED CLINICAL SOCIAL WORKER PC
Active
Other names
Therapy Mission
Organization subpart
No
Provider details
NPI number
Authorized official
REINA AVILA LCSW (CEO)
(626) 714-0011
Entity
Organization
Contact information
Practice address
554 E FOOTHILL BLVD STE 106, SAN DIMAS, CA 91773-1222
(626) 714-0011
Mailing address
554 E FOOTHILL BLVD STE 106, SAN DIMAS, CA 91773-1222
(626) 714-0011
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
08/09/2023
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