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Organization
THRIVE COUNSELING AND CONCILIATION
Active
Organization
THRIVE COUNSELING AND CONCILIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BROWNBACK (OWNER)
(309) 530-3853
Entity
Organization
Contact information
Practice address
1625 WHITE OAK ST, COSTA MESA, CA 92626-3724
(130) 953-0385
(309) 530-3853
Mailing address
1625 WHITE OAK ST, COSTA MESA, CA 92626-3724
(309) 530-3853
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396023396
NPI
—
Enumeration date
04/04/2018
Last updated
04/04/2018
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