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Organization
SISTAHPEACE RESHAPING WELLBALANCE CC SERVICES
Active
Organization
SISTAHPEACE RESHAPING WELLBALANCE CC SERVICES
Active
Other names
SRWCCS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. A. ASUNGI L.C.S.W. (OWNER/CLINICAL THERAPIST)
(562) 498-3318
Entity
Organization
Contact information
Practice address
3939 ATLANTIC AVE, # 208, LONG BEACH, CA 90807-3536
(562) 498-3318
Mailing address
3939 ATLANTIC AVE, # 208, LONG BEACH, CA 90807-3536
(562) 498-3318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCS 27091
CA
104100000X
Social Worker
LCS 27091
CA
1041C0700X
Clinical Social Worker
Primary
LCS 27091
CA
Other
Enumeration date
08/16/2012
Last updated
08/17/2012
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