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Organization
CENTER FOR THE LIVING ARTS
Active
Organization
CENTER FOR THE LIVING ARTS
Active
Other names
Living Arts Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA TROUT MA, AMFT (BUSINESS MANAGER)
(530) 575-8619
Entity
Organization
Contact information
Practice address
1265 65TH ST, EMERYVILLE, CA 94608-1110
(510) 595-5500
Mailing address
1791 SOLANO AVE # E07, BERKELEY, CA 94707-2209
(510) 595-5500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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