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Organization
BALANCED WATERS FAMILY THERAPY, INC.
Active
Organization
BALANCED WATERS FAMILY THERAPY, INC.
Active
Other names
BALANCED WATERS THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MICHELLE GIBBS MFT (PRESIDENT)
(562) 896-4694
Entity
Organization
Contact information
Practice address
4433 E VILLAGE RD STE H, LONG BEACH, CA 90808-1505
(562) 896-4694
Mailing address
4433 E VILLAGE RD STE H, LONG BEACH, CA 90808-1505
(562) 896-4694
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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