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Organization
UPRISE PSYCHOLOGICAL WELLNESS CORP
Active
Organization
UPRISE PSYCHOLOGICAL WELLNESS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYRENE DIAZ PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(818) 275-1777
Entity
Organization
Contact information
Practice address
1401 21ST ST STE R, SACRAMENTO, CA 95811-5226
(530) 768-2211
Mailing address
23638 NEWHALL AVE STE 6, NEWHALL, CA 91321-4234
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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