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Organization
WEST COAST HEALTHY LIVING CENTER
Active
Organization
WEST COAST HEALTHY LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUAWANNA THOMPSON (ADMINISTRATION)
(951) 567-6051
Entity
Organization
Contact information
Practice address
2158 PACIFIC AVE, LONG BEACH, CA 90806-4514
(951) 567-6051
Mailing address
2158 PACIFIC AVE, LONG BEACH, CA 90806-4514
(951) 567-6051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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