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Organization

CONNECTIONS A COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSHUA TAYLOR WIGGINS (CREDENTIALING AGENT)
(888) 543-6349
Entity
Organization

Contact information

Practice address
39055 HASTINGS ST, SUITE 106, FREMONT, CA 94538-1518
(510) 789-3368
Mailing address
39055 HASTINGS ST, SUITE 106, FREMONT, CA 94538-1518
(510) 789-3368

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 18481
CA

Other

Enumeration date
10/15/2014
Last updated
06/25/2015
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