| Community Counseling Group | |
|
3625 E Thousand Oaks Blvd Suite #109 Westlake Village CA 91362-3626 | |
| (805) 373-1033 | |
| (805) 373-1032 |
| Full Name | Community Counseling Group |
|---|---|
| Speciality | Psychologist |
| Location | 3625 E Thousand Oaks Blvd, Westlake Village, California |
| Authorized Official Name and Position | Thomas F Locke (PARTNER) |
| Authorized Official Contact | 8053731033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Group Po Box 7178 Westlake Village CA 91359-7178 Ph: (805) 373-1033 | Community Counseling Group 3625 E Thousand Oaks Blvd Suite #109 Westlake Village CA 91362-3626 Ph: (805) 373-1033 |
| NPI Number | 1912055161 |
|---|---|
| Provider Enumeration Date | 01/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912055161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY-17349 (California) | Primary |
| 103T00000X | Psychologist | PSY-13901 (California) | Secondary |
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