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Organization
WISEMIND INC
Active
Organization
WISEMIND INC
Active
Other names
Wisemind Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINY S RATTANAPICHETKUL LMFT (CEO, CFO)
(626) 552-5994
Entity
Organization
Contact information
Practice address
705 VALLEY VIEW AVE, MONROVIA, CA 91016-2446
(626) 344-8036
(626) 316-6761
Mailing address
705 VALLEY VIEW AVE, MONROVIA, CA 91016-2446
(626) 344-8036
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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