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Organization
STILL WATERS THERAPY, MARRIAGE AND FAMILY COUNSELING, PC
Active
Organization
STILL WATERS THERAPY, MARRIAGE AND FAMILY COUNSELING, PC
Active
Other names
Still Waters Therapy, Marriage and Family Counseling, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MAKELA NICOLE MIMS LMFT (OWNER)
(916) 579-7145
Entity
Organization
Contact information
Practice address
9401 E STOCKTON BLVD STE 115, ELK GROVE, CA 95624-5050
(916) 579-7145
(916) 581-8694
Mailing address
9401 E STOCKTON BLVD STE 115, ELK GROVE, CA 95624-5050
(916) 579-7145
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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