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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