WHOLE WELLNESS THERAPY A LICENSED CLINICAL SOCIAL WORKER CORPORATION NPI 1811536337

NPI Information

WHOLE WELLNESS THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION is a mental health counselor in Fair Oaks, CA. WHOLE WELLNESS THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION NPI is 1811536337. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Whole Wellness Therapy.

The provider's business location address is:

4112 PENNSYLVANIA AVE
FAIR OAKS, CA
ZIP 95628-413
Phone: (916) 619-7744
Fax: (916) 581-8691

The provider's authorized official is Isaac Smith .
The authorized official title is Ceo and has the following contact phone number (916) 619-3405.

The enumeration date for this NPI number is 1/1/2020 and was last updated on 6/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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