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Organization
WELLNESS WITHIN PSYCHOTHERAPY & CONSULTING PC
Active
Organization
WELLNESS WITHIN PSYCHOTHERAPY & CONSULTING PC
Active
Other names
Wellness Within Psychotherapy & Consulting, Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORVAL JOSEPH HICKMAN III PHD, MPH (PRESIDENT & CEO)
(707) 908-0617
Entity
Organization
Contact information
Practice address
175 E PROSPECT AVE STE 2A, DANVILLE, CA 94526-3866
(510) 982-1000
(510) 210-9310
Mailing address
604 MILITARY E, BENICIA, CA 94510-3551
(707) 908-0617
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/23/2024
Last updated
05/06/2024
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