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Organization
RADIANT SOUL INC
Active
Organization
RADIANT SOUL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELECYTIE ROSEN-HANSON LMFT (DIRECTOR)
(925) 325-4239
Entity
Organization
Contact information
Practice address
2151 CALIFORNIA ST APT B, CONCORD, CA 94520-2683
(925) 325-4239
Mailing address
3400 COTTAGE WAY STE G2, SACRAMENTO, CA 95825-1474
(925) 325-4239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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