Individual
MAHOGANY WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
APCC8677
CA
101YP2500X
Professional Counselor
Primary
APCC8677
CA
106H00000X
Marriage & Family Therapist
AMFT122217
CA
Other
Enumeration date
09/16/2009
Last updated
07/14/2023
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