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Organization
SERENITY EATING DISORDER CLINIC OF CENTRAL CALIFORNIA
Active
Organization
SERENITY EATING DISORDER CLINIC OF CENTRAL CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SUZANNE MITCHELL LMFT (FOUNDER)
(559) 760-5285
Entity
Organization
Contact information
Practice address
29613 JIM BOWIE CT, COARSEGOLD, CA 93614-9686
(559) 760-5285
Mailing address
29613 JIM BOWIE CT, COARSEGOLD, CA 93614-9686
(559) 760-5285
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
41576
CA
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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