Organization
EBMC PSYCHOLOGY, INC
Active
Other names
East Bay Mindfulness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA ROBERT WILSON MFT (PRESIDENT)
(925) 317-3179
Entity
Organization
Contact information
Practice address
23 ALTARINDA RD STE 218, ORINDA, CA 94563-2610
(925) 317-3179
Mailing address
23 ALTARINDA RD STE 218, ORINDA, CA 94563-2610
(925) 317-3179
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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