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Organization
BREATHE ANGER MANAGEMENT
Active
Organization
BREATHE ANGER MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AQUANETTA WILSON BANKSTON (OWNER/PRESIDENT)
(818) 378-0080
Entity
Organization
Contact information
Practice address
904 N LA BREA AVE, INGLEWOOD, CA 90302-2226
(818) 378-0080
Mailing address
815 N LA BREA AVE # 414, INGLEWOOD, CA 90302-2205
(818) 378-0080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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