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Organization
SOUL IN MIND PSYCHOLOGICAL SERVICES, SBC
Active
Organization
SOUL IN MIND PSYCHOLOGICAL SERVICES, SBC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER M. SANDOVAL PHD (DIRECTOR)
(657) 217-1141
Entity
Organization
Contact information
Practice address
26266 MERIDIAN ST, HEMET, CA 92544-6486
(657) 217-1141
(657) 202-1898
Mailing address
26266 MERIDIAN ST, HEMET, CA 92544-6486
(657) 217-1141
(657) 202-1898
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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