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Organization
TRAUMA AND HEALING FOUNDATION
Active
Organization
TRAUMA AND HEALING FOUNDATION
Active
Other names
The Trauma and Healing Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL R ADKISSON LMFT (CEO/FOUNDER)
(909) 693-3177
Entity
Organization
Contact information
Practice address
17057 FOOTHILL BLVD STE 205, FONTANA, CA 92335-3574
(909) 693-3177
(909) 693-3177
Mailing address
17057 FOOTHILL BLVD STE 205, FONTANA, CA 92335-3574
(909) 693-3177
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
12/07/2023
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