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Organization
HORSESPEAK CENTER FOR PERSONAL DEVELOPMENT, INC.
Active
Organization
HORSESPEAK CENTER FOR PERSONAL DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN REZIN LMFT (INTERIM CLINICAL DIRECTOR)
(209) 772-3871
Entity
Organization
Contact information
Practice address
11568 ARAPAHO WAY, BURSON, CA 95225
(209) 772-3871
Mailing address
PO BOX 674, BURSON, CA 95225-0674
(209) 772-3871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
06/15/2023
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