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Organization
MINDFUL REVAMP, INC.
Active
Organization
MINDFUL REVAMP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GABRIELLE ROSE GONZALEZ LMFT (CEO)
(909) 904-5152
Entity
Organization
Contact information
Practice address
9497 JACK RABBIT DR UNIT 106, RANCHO CUCAMONGA, CA 91730-2778
(909) 904-5152
Mailing address
7252 ARCHIBALD AVE # 1005, RANCHO CUCAMONGA, CA 91701-5017
(909) 904-5152
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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