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Organization
ROOTS PSYCHOLOGICAL GROUP, PC
Active
Organization
ROOTS PSYCHOLOGICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA KANG PSY.D (PRESIDENT)
(562) 471-7710
Entity
Organization
Contact information
Practice address
3939 ATLANTIC AVE STE 102, LONG BEACH, CA 90807-3535
(562) 471-7710
Mailing address
3939 ATLANTIC AVE STE 102, LONG BEACH, CA 90807-3535
(562) 471-7710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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