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Organization
SOUL GRIT MARRIAGE AND FAMILY COUNSELING SERVICES, INC.
Active
Organization
SOUL GRIT MARRIAGE AND FAMILY COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN TAYLOR MCNIECE MA (PRESIDENT)
(408) 375-3552
Entity
Organization
Contact information
Practice address
36580 PENFIELD LN, SUITE 101, WINCHESTER, CA 92596-8610
(951) 527-7685
Mailing address
36580 PENFIELD LN, SUITE 101, WINCHESTER, CA 92596-8610
(951) 527-7685
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFT87272
CA
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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