Organization
SEEDS OF CHANGE THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISSY BYNUM LCSW (THERAPIST)
(661) 525-3500
Entity
Organization
Contact information
Practice address
110 S MONTCLAIR ST STE 106, BAKERSFIELD, CA 93309-3118
(661) 525-3500
(661) 525-3515
Mailing address
110 S MONTCLAIR ST STE 106, BAKERSFIELD, CA 93309-3118
(661) 525-3500
(661) 525-3515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
09/13/2024
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