Organization
DUALITY MENTAL HEALTH NURSING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA JACKSON (CEO)
(213) 842-7242
Entity
Organization
Contact information
Practice address
38975 SKY CANYON DR STE 212, MURRIETA, CA 92563-2678
(213) 842-7242
Mailing address
38975 SKY CANYON DR STE 212, MURRIETA, CA 92563-2678
(213) 842-7242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/26/2023
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