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Organization
DEEP WELLNESS CENTER CHILD & FAMILY INC
Active
Organization
DEEP WELLNESS CENTER CHILD & FAMILY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMANDEEP DHALIWAL M.S. LMFT (MARRIAGE & FAMILY THERAPIST)
(209) 665-6857
Entity
Organization
Contact information
Practice address
5815 STODDARD RD STE 600, MODESTO, CA 95356-9041
(209) 665-6857
Mailing address
5815 STODDARD RD STE 600, MODESTO, CA 95356-9041
(209) 665-6857
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YM0800X
Mental Health Counselor
—
CA
103TC0700X
Clinical Psychologist
—
CA
1041C0700X
Clinical Social Worker
—
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT 52611
CA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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