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Organization
MARSELL WELLNESS CENTER
Active
Organization
MARSELL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKEY J SMITH LCSW, PSYD (CHIEF CLINICAL OFFICER)
(661) 917-1415
Entity
Organization
Contact information
Practice address
3281 E GUASTI RD, ONTARIO, CA 91761-7622
(909) 323-7100
Mailing address
3281 E GUASTI RD, ONTARIO, CA 91761-7622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/08/2022
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