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Organization
ELLEN MENTAL HEALTH INC
Active
Organization
ELLEN MENTAL HEALTH INC
Active
Other names
Wylma Gibbs
Organization subpart
No
Provider details
NPI number
Authorized official
WYLMA GIBBS MFC49020 (MARRIAGE FAMILY THERAPIST)
(626) 827-0418
Entity
Organization
Contact information
Practice address
5626 SULTANA AVE APT 3, TEMPLE CITY, CA 91780-2374
(626) 827-0418
Mailing address
5626 SULTANA AVE APT 3, TEMPLE CITY, CA 91780-2374
(626) 827-0418
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC49020
CA
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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