Organization
COLLECTIVE CONSCIOUSNESS OF NEW AGE NATIVE AMERICANS
Active
Organization
COLLECTIVE CONSCIOUSNESS OF NEW AGE NATIVE AMERICANS
Active
Other names
CCNANA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASHEDA LEONARD-HAYSELDEN MD, PSYD (CHIEF)
(619) 738-4017
Entity
Organization
Contact information
Practice address
3860 MURPHY CANYON RD STE 103, SAN DIEGO, CA 92123-4403
(619) 738-4017
Mailing address
3860 MURPHY CANYON RD STE 103, SAN DIEGO, CA 92123-4403
(619) 738-4017
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
146D00000X
Personal Emergency Response Attendant
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
202C00000X
Independent Medical Examiner Physician
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QG0250X
Genetics Clinic/Center
—
—
284300000X
Special Hospital
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091733
WOLLCARE COMMUNITY HEALTH NETWORK
CA
Enumeration date
11/01/2021
Last updated
11/01/2021
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