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Organization
MIRACLES COUNSELING CENTER, INC
Active
Organization
MIRACLES COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS CRUET-RUBIO LMFT (FOUNDER)
(310) 819-1055
Entity
Organization
Contact information
Practice address
879 W 190TH ST STE 400, GARDENA, CA 90248-4223
(310) 819-1055
(310) 943-0494
Mailing address
1201 N CATALINA AVE UNIT 3052, REDONDO BEACH, CA 90277-8255
(310) 819-1055
(310) 943-0494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
101YP2500X
Professional Counselor
—
CA
103T00000X
Psychologist
—
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
CA
103TC0700X
Clinical Psychologist
—
CA
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
CA
106H00000X
Marriage & Family Therapist
Primary
—
CA
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
CA
251S00000X
Community/Behavioral Health Agency
—
CA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
CA
Other
Enumeration date
08/01/2018
Last updated
04/20/2020
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