| Jeremy Mast, Licensed Marriage And Family Therapist, Inc. | |
|
3585 Maple St Ste 233 Ventura CA 93003-9148 | |
| (805) 256-3497 | |
| Not Available |
| Full Name | Jeremy Mast, Licensed Marriage And Family Therapist, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3585 Maple St Ste 233, Ventura, California |
| Authorized Official Name and Position | Jeremy Mast (PRESIDENT) |
| Authorized Official Contact | 8052563497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Mast, Licensed Marriage And Family Therapist, Inc. 3585 Maple St Ste 233 Ventura CA 93003-9148 Ph: (805) 256-3497 | Jeremy Mast, Licensed Marriage And Family Therapist, Inc. 3585 Maple St Ste 233 Ventura CA 93003-9148 Ph: (805) 256-3497 |
| NPI Number | 1215543160 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215543160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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