Organization
MIND BODY AND SPIRIT COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOODROW ANTHONY ROEBACK III PHD, LPCC, CPC (OWNER)
(702) 917-9309
Entity
Organization
Contact information
Practice address
241 W QUAIL DR, PALMDALE, CA 93551-2943
(714) 803-0268
Mailing address
241 W QUAIL DR, PALMDALE, CA 93551-2943
(714) 803-0268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CI0077
NV
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
03/17/2021
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