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Organization
WISE WINGS FAMILY COUNSELING INCORPORATED
Active
Organization
WISE WINGS FAMILY COUNSELING INCORPORATED
Active
Other names
Wise Wings Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA GENTRY LMFT (OWNER/MANAGER)
(805) 428-4722
Entity
Organization
Contact information
Practice address
141 DUESENBERG DR STE 15C, WESTLAKE VILLAGE, CA 91362-3478
(805) 390-4908
Mailing address
30700 RUSSELL RANCH RD STE 250, WESTLAKE VILLAGE, CA 91362-9507
(805) 390-4908
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
04/21/2022
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