# TRAUMA AND HEALING FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Trauma and Healing Foundation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629600341
- **Authorized official:** MS. CAROL R ADKISSON LMFT (CEO/FOUNDER)
- **Authorized official phone:** (909) 693-3177

## Contact information

- **Practice address:** 17057 FOOTHILL BLVD STE 205, FONTANA, CA 92335-3574
- **Practice address phone:** (909) 693-3177
- **Practice address fax:** (909) 693-3177
- **Mailing address:** 17057 FOOTHILL BLVD STE 205, FONTANA, CA 92335-3574
- **Mailing address phone:** (909) 693-3177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2020
- **Last updated:** 12/07/2023