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Organization
MIND BODY & SOUL FAMILY THERAPY
Active
Organization
MIND BODY & SOUL FAMILY THERAPY
Active
Other names
Mind Body & Soul Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL DEANNA OSBORN MFT (OWNER)
(909) 303-0969
Entity
Organization
Contact information
Practice address
10737 LAUREL ST., #135, RANCHO CUCAMONGA, CA 91730
(909) 303-0969
(909) 481-5753
Mailing address
10737 LAUREL ST., #135, RANCHO CUCAMONGA, CA 91730
(909) 303-0969
(909) 481-5753
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/22/2021
Last updated
04/18/2025
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