Living Evolution: an Outdoor Experiential Learning Program Inc.
NPI #1912393612 in Scotts Valley, California
Provider Information
- NPI Number
- 1912393612
- Entity Type
- Organization
- Organization Name
- Living Evolution: an Outdoor Experiential Learning Program Inc.
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 9, 2015
- Last Updated
- Apr 9, 2015
Practice Location
- Address
- 6001 BUTTLER LANE
- Address 2
- SUITE 206
- City
- Scotts Valley
- State
- California
- ZIP Code
- 95066
- Phone
- (831) 247-3984
Authorized Official
- Name
- JORDEN R. KRIMMER, MACP
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (831) 247-3984
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist - Nutrition, Education — Nutrition, Education |
| Counselor - Mental Health — Mental Health |
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