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Organization
EPIPHANY COUNSELING, CONSULTING & TREATMENT SERVICES, PC
Active
Organization
EPIPHANY COUNSELING, CONSULTING & TREATMENT SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIYUME MCKINLEY LCSW (OWNER)
(424) 570-6955
Entity
Organization
Contact information
Practice address
302 W 5TH ST STE 308, SAN PEDRO, CA 90731-2750
(424) 376-8705
(424) 363-1721
Mailing address
302 W 5TH ST STE 308, SAN PEDRO, CA 90731-2750
(424) 570-6955
(424) 363-1721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW64555
CA
Other
Enumeration date
05/22/2015
Last updated
10/04/2016
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