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Organization
LIVING EVOLUTION: AN OUTDOOR EXPERIENTIAL LEARNING PROGRAM INC.
Active
Organization
LIVING EVOLUTION: AN OUTDOOR EXPERIENTIAL LEARNING PROGRAM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDEN R. KRIMMER MACP (CHIEF EXECUTIVE OFFICER)
(831) 247-3984
Entity
Organization
Contact information
Practice address
6001 BUTTLER LANE, SUITE 206, SCOTTS VALLEY, CA 95066
(831) 247-3984
Mailing address
4678 SOQUEL DRIVE, #362, SOQUEL, CA 95073
(831) 247-3984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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