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Organization
CENTENNIAL HARVEST WELLNESS INSTITUTE
Active
Organization
CENTENNIAL HARVEST WELLNESS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEEANN MARIE NABORS (PRESIDENT-CEO)
(323) 917-1195
Entity
Organization
Contact information
Practice address
2330 E DEL MAR BLVD, PASADENA, CA 91107
(323) 917-1195
Mailing address
3355 N WHITE AVE UNIT 8287, LA VERNE, CA 91750-6207
(323) 917-1195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831383272
LICENSED MARRIAGE, FAMILY THERAPIST
CA
Enumeration date
07/21/2022
Last updated
07/21/2022
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