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Organization
LIGHTHOUSE MENTORING CENTER
Active
Organization
LIGHTHOUSE MENTORING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS RITTER LMFT (CLINICAL DIRECTOR)
(925) 628-1641
Entity
Organization
Contact information
Practice address
2213 BUCHANAN RD # R107, ANTIOCH, CA 94509-4265
(925) 529-4885
Mailing address
2213 BUCHANAN RD STE 107, ANTIOCH, CA 94509-4265
(925) 628-1641
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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