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Organization
BENEATH THE SURFACE THERAPY
Active
Organization
BENEATH THE SURFACE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN COZETE ELLISON LMFT (FOUNDER AND CLINICAL DIRECTOR)
(760) 836-6292
Entity
Organization
Contact information
Practice address
78150 CALLE TAMPICO, STE 200I, LA QUINTA, CA 92253
(760) 836-6292
(760) 369-7352
Mailing address
78150 CALLE TAMPICO, STE 200I, LA QUINTA, CA 92253
(760) 836-6292
(760) 369-7352
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/26/2025
Last updated
07/28/2025
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