| Lacuna Healing Therapy Pc | |
|
3375 Montagne Way Thousand Oaks CA 91362 | |
| (310) 924-1208 | |
| Not Available |
| Full Name | Lacuna Healing Therapy Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3375 Montagne Way, Thousand Oaks, California |
| Authorized Official Name and Position | Samantha Romero (CEO/FOUNDER) |
| Authorized Official Contact | 3109241208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacuna Healing Therapy Pc 432 E Idaho St # 203 Kalispell MT 59901-4137 Ph: (310) 924-1208 | Lacuna Healing Therapy Pc 3375 Montagne Way Thousand Oaks CA 91362 Ph: (310) 924-1208 |
| NPI Number | 1336913615 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336913615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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