Organization
CONSCIOUS CULTURE PSYCHOLOGY CLINIC INC.
Active
Organization
CONSCIOUS CULTURE PSYCHOLOGY CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA LOUISE MIHECOBY PHD (CEO)
(626) 658-4297
Entity
Organization
Contact information
Practice address
5800 S EASTERN AVE, COMMERCE, CA 90040-4016
(626) 430-4521
(626) 498-1483
Mailing address
5800 S EASTERN AVE STE 500, COMMERCE, CA 90040-4033
(626) 658-4297
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
29218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IN249Z
—
CA
Enumeration date
08/24/2018
Last updated
02/02/2023
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