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Organization
WISDOM WELLNESS PSYCHOTHERAPY INC
Active
Organization
WISDOM WELLNESS PSYCHOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASSITY ANGENY-SHOWALTER PSYD (OWNER/CEO)
(916) 546-5228
Entity
Organization
Contact information
Practice address
340 S. LEMON AVE #4028, WALNUT, CA 91789
(916) 546-5228
Mailing address
340 S. LEMON AVE #4028, WALNUT, CA 91789
(916) 546-5228
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
133V00000X
Registered Dietitian
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
09/09/2022
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