Second Chance Miniseries Welklness Center
NPI #1588391734 in Lemoore, California
Provider Information
- NPI Number
- 1588391734
- Entity Type
- Organization
- Organization Name
- Second Chance Miniseries Welklness Center
- Primary Specialty
- Psychologist - Counseling
- Enumeration Date
- Aug 6, 2022
- Last Updated
- Aug 6, 2022
Practice Location
- Address
- 289 N 19TH AVE APT 52
- City
- Lemoore
- State
- California
- ZIP Code
- 93245-2573
- Phone
- (805) 800-8209
Authorized Official
- Name
- COREY WAYNE BOREN, PYSD
- Title
- DR
- Phone
- (916) 893-4528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Counseling — Counseling |
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