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Organization
SKT THERAPY INC
Active
Organization
SKT THERAPY INC
Active
Other names
SKT THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON KLOSAK LMFT (OWNER)
(650) 252-0300
Entity
Organization
Contact information
Practice address
765 N MAIN ST STE 130-A10, CORONA, CA 92878-1440
(650) 252-0300
Mailing address
765 N MAIN ST STE 130-A10, CORONA, CA 92878-1440
(650) 252-0300
(951) 735-7113
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
93637
CA
Other
Enumeration date
08/24/2018
Last updated
05/19/2021
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