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Organization
SOAR & LIVE INC
Active
Organization
SOAR & LIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERISSE HUNTER-SOUTHERN ED.D. COUNSELING PSY (VICE PRESIDENT)
(909) 401-1759
Entity
Organization
Contact information
Practice address
517 N MOUNTAIN AVE # 216, UPLAND, CA 91786-5016
(909) 401-1759
(866) 927-8001
Mailing address
517 N MOUNTAIN AVE # 216, UPLAND, CA 91786-5016
(909) 401-1759
(866) 927-8001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/25/2022
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