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Organization
WHOLE MIND WELLNESS SERVICES
Active
Organization
WHOLE MIND WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARIEL LEIGH MACON-RICHARD LCSW (DIRECTOR)
(626) 283-5888
Entity
Organization
Contact information
Practice address
32 S RAYMOND AVE STE 3B, PASADENA, CA 91105-1961
(626) 283-5888
Mailing address
32 S RAYMOND AVE STE 3B, PASADENA, CA 91105-1961
(626) 283-5888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
26253
CA
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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