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Organization
HOUSE OF HEALING, INC.
Active
Organization
HOUSE OF HEALING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN LOUISE SIDDIQI LCSW (DIRECTOR)
(805) 925-5776
Entity
Organization
Contact information
Practice address
920 S BROADWAY, SUITE B, SANTA MARIA, CA 93454-6662
(805) 925-5776
(805) 929-5683
Mailing address
920 S BROADWAY, SUITE B, SANTA MARIA, CA 93454-6641
(805) 925-5776
(805) 929-5683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 5631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497887483
CAL-WORKS
CA
01
—
1497887483
VICTIM COMPENSATION PROGRAM
—
Enumeration date
08/01/2010
Last updated
09/08/2014
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