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Organization
LIFELINE 2 WELLNESS
Active
Organization
LIFELINE 2 WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE D BREDEHOFT MSN, PMHNP-BC (OWNER)
(714) 497-3307
Entity
Organization
Contact information
Practice address
901 DOVE ST STE 299, NEWPORT BEACH, CA 92660-3036
(714) 497-3307
(714) 464-4478
Mailing address
436 E RAINIER AVE, ORANGE, CA 92865-1114
(714) 319-7208
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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