| Jennifer Su'apa'ia Individual And Family Therapy | |
|
509 Marin St Ste 227 Thousand Oaks CA 91360-4231 | |
| (805) 768-4777 | |
| Not Available |
| Full Name | Jennifer Su'apa'ia Individual And Family Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 509 Marin St Ste 227, Thousand Oaks, California |
| Authorized Official Name and Position | Jennifer Lynn Su'apa'ia (LMFT) |
| Authorized Official Contact | 8054283830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Su'apa'ia Individual And Family Therapy 2105 Booth St Simi Valley CA 93065-1103 Ph: (805) 428-3830 | Jennifer Su'apa'ia Individual And Family Therapy 509 Marin St Ste 227 Thousand Oaks CA 91360-4231 Ph: (805) 768-4777 |
| NPI Number | 1700587573 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700587573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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