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Organization
IMPACT COUNSELING GROUP
Active
Organization
IMPACT COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY DENISE WILLIAMS LPCC (CLINICAL THERAPIST/ CLINICAL DIR)
(916) 627-5651
Entity
Organization
Contact information
Practice address
355 S GRAND AVE STE 2450, LOS ANGELES, CA 90071-9500
(323) 826-7359
(323) 826-5262
Mailing address
8939 S SEPULVEDA BLVD STE 102, LOS ANGELES, CA 90045-3605
(323) 826-7359
(323) 826-5262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
11/11/2023
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