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Organization
STORMBREAKER WELLNESS, INC.
Active
Organization
STORMBREAKER WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY GARY RAMIREZ MSW, LCSW (CEO, TREASURER)
(909) 270-6478
Entity
Organization
Contact information
Practice address
11801 PIERCE ST STE 200, RIVERSIDE, CA 92505-4400
(951) 836-9444
(951) 848-0797
Mailing address
11801 PIERCE ST STE 200, RIVERSIDE, CA 92505-4400
(951) 836-9444
(951) 848-0797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/19/2023
Last updated
12/26/2024
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