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Organization
MENDING THE HEART
Active
Organization
MENDING THE HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE SMITH (INSURANCE SPECIALIST)
(951) 249-3644
Entity
Organization
Contact information
Practice address
28693 OLD TOWN FRONT ST STE 300, TEMECULA, CA 92590-2789
(951) 249-3644
Mailing address
28693 OLD TOWN FRONT ST STE 300, TEMECULA, CA 92590-2789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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