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Organization
THE GREENLEAF CENTER A PSYCHOLOGICAL SERVICES CORPORATION
Active
Organization
THE GREENLEAF CENTER A PSYCHOLOGICAL SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE GARCIA PH.D. (DIRECTOR)
(562) 945-5108
Entity
Organization
Contact information
Practice address
13006 PHILADELPHIA ST, SUITE 411, WHITTIER, CA 90601-4210
(562) 945-5108
(562) 945-5208
Mailing address
13006 PHILADELPHIA ST, SUITE 411, WHITTIER, CA 90601-4210
(562) 945-5108
(562) 945-5208
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16485
CA
106H00000X
Marriage & Family Therapist
MFC41879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPS001430
—
CA
Enumeration date
07/01/2006
Last updated
04/06/2015
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