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Organization
CHOI LICENSED CLINICAL SOCIAL WORKER & NISHIMI CHILD THERAPIST
Active
Organization
CHOI LICENSED CLINICAL SOCIAL WORKER & NISHIMI CHILD THERAPIST
Active
Other names
Illuminated Mind Therapy Center, East Bay Center for Teen and Family Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA NISHIMI (CO-FOUNDER)
(925) 289-8025
Entity
Organization
Contact information
Practice address
1844 SAN MIGUEL DR STE 306A, WALNUT CREEK, CA 94596-8610
(925) 289-8025
Mailing address
1844 SAN MIGUEL DR STE 306A, WALNUT CREEK, CA 94596-8610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/22/2024
Last updated
05/31/2024
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