| |
501 Marin St Ste 114 Thousand Oaks CA 91360-4265 | |
(805) 494-1414 | |
(805) 426-8575 |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 501 Marin St Ste 114, Thousand Oaks, California |
Authorized Official Name and Position | Sara Rector (PRESIDENT) |
Authorized Official Contact | 8054941414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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501 Marin St Ste 114 Thousand Oaks CA 91360-4265 Ph: (805) 494-1414 | 501 Marin St Ste 114 Thousand Oaks CA 91360-4265 Ph: (805) 494-1414 |
NPI Number | 1568912541 |
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Provider Enumeration Date | 10/13/2016 |
Last Update Date | 12/06/2024 |
Certification Date | 12/06/2024 |
Medicare PECOS PAC ID | 6103351333 |
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Medicare Enrollment ID | O20241126000389 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568912541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LMFT31230 (California) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Sara Pollman Rector |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1578784146 PECOS PAC ID: 3173058302 Enrollment ID: I20241209000805 |
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