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Organization
HOLISTIC PSYCHOTHERAPY INC.
Active
Organization
HOLISTIC PSYCHOTHERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED GEZERSEH MFT (OWNER)
(949) 463-2515
Entity
Organization
Contact information
Practice address
23331 EL TORO ROAD, SUITE 208, LAKE FOREST, CA 92630
(949) 463-2515
Mailing address
2149 RONDA GRANADA, UNIT A, LAGUNA WOODS, CA 92637
(949) 463-2515
(949) 484-8931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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