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Organization
SHAUDI ADEL, A LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Organization
SHAUDI ADEL, A LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Other names
Centered Mind Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CLINE (DIRECTOR OF OPERATIONS)
(858) 215-3885
Entity
Organization
Contact information
Practice address
1968 S COAST HWY # 5025, LAGUNA BEACH, CA 92651-3681
(858) 215-3885
Mailing address
1968 S COAST HWY # 5025, LAGUNA BEACH, CA 92651-3681
(858) 215-3885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/17/2020
Last updated
12/12/2020
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