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Organization
NEW WAVE YOUTH AND FAMILY THERAPY SERVICES
Active
Organization
NEW WAVE YOUTH AND FAMILY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON QUIROZ LMFT #113915 (PRESIDENT)
(562) 794-7008
Entity
Organization
Contact information
Practice address
2009 PALO VERDE AVE, LONG BEACH, CA 90815-3322
(562) 794-7008
(562) 632-5192
Mailing address
8341 QUIMBY ST, PARAMOUNT, CA 90723-2728
(562) 794-7008
(562) 632-5192
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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