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Organization
WHOLEHEARTED LIVING THERAPY LICENSED PROFESSIONAL CLINICAL COUNSELOR,
Active
Organization
WHOLEHEARTED LIVING THERAPY LICENSED PROFESSIONAL CLINICAL COUNSELOR,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE VIDANA LPCC (OWNER)
(619) 357-6986
Entity
Organization
Contact information
Practice address
2030 ONTARIO CT, EL CAJON, CA 92019-4231
(619) 357-6986
Mailing address
2030 ONTARIO CT, EL CAJON, CA 92019-4231
(161) 976-4329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5686
LICENSURE NUMBER LPCC
CA
Enumeration date
10/17/2022
Last updated
10/17/2022
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