Organization
WHOLE SOUL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENTRI HAMES LCSW (OWNER)
(408) 647-4043
Entity
Organization
Contact information
Practice address
1650 HWY 395, SUITE 103, MINDEN, NV 89423
(408) 647-4043
Mailing address
2747 KAYNE AVE, MINDEN, NV 89423-9209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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