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Organization
SACRED BONDS
Active
Organization
SACRED BONDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO ABARCA LCSW (EXECUTIVE DIRECTOR)
(209) 617-9456
Entity
Organization
Contact information
Practice address
14570 MONO WAY STE A, SONORA, CA 95370-8997
(209) 617-9456
(209) 396-2974
Mailing address
17775 PLAZA DEL SUR RD, SONORA, CA 95370-8726
(209) 617-9456
(209) 396-2974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538184676
—
CA
Enumeration date
01/24/2021
Last updated
04/05/2021
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