| Jeg Therapy, Inc | |
|
2659 Townsgate Rd Ste 226 Westlake Village CA 91361-2755 | |
| (818) 521-3867 | |
| Not Available |
| Full Name | Jeg Therapy, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2659 Townsgate Rd Ste 226, Westlake Village, California |
| Authorized Official Name and Position | Jason Gillard (PRESIDENT / CLINICIAN) |
| Authorized Official Contact | 8185213867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeg Therapy, Inc 21529 Saticoy St Apt 206 Canoga Park CA 91304-4962 Ph: (818) 521-3867 | Jeg Therapy, Inc 2659 Townsgate Rd Ste 226 Westlake Village CA 91361-2755 Ph: (818) 521-3867 |
| NPI Number | 1124539333 |
|---|---|
| Provider Enumeration Date | 10/14/2017 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124539333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 25769 (California) | Primary |
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