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Organization
MINDFULLY BALANCED
Active
Organization
MINDFULLY BALANCED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA M CARLSON LMFT (LMFT)
(760) 523-2140
Entity
Organization
Contact information
Practice address
16195 SISKIYOU RD STE 120B, APPLE VALLEY, CA 92307-1346
(760) 523-2140
(760) 589-1454
Mailing address
15906 SILVER TIP WAY, VICTORVILLE, CA 92394-6403
(760) 217-6437
(760) 589-1454
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
02/19/2025
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