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Organization
OK 2B ANGRY
Active
Organization
OK 2B ANGRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERVANDO TREVINO SR. LMFT (OWNER)
(760) 638-3095
Entity
Organization
Contact information
Practice address
139 E 3RD AVE STE 104, ESCONDIDO, CA 92025-4246
(760) 896-4357
Mailing address
139 E 3RD AVE STE 104, ESCONDIDO, CA 92025-4246
(760) 896-4357
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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