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Organization
THRIVE TEEN THERAPY LICENSED CLINICAL SOCIAL WORKER APC
Active
Organization
THRIVE TEEN THERAPY LICENSED CLINICAL SOCIAL WORKER APC
Active
Other names
Empower Youth Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DHAMNASKAR LCSW (FOUNDER AND CLINICIAN)
(650) 660-9660
Entity
Organization
Contact information
Practice address
68 E 11TH ST STE 107, TRACY, CA 95376-4088
(650) 660-9660
(209) 975-5029
Mailing address
68 E 11TH ST STE 107, TRACY, CA 95376-4088
(650) 660-9660
(209) 975-5029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
06/29/2026
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