| Marriage Counseling Ctr Sexual Health | |
|
2660 Townsgate Rd Ste 520 Westlake Village CA 91361-5712 | |
| (805) 308-9800 | |
| (805) 230-2210 |
| Full Name | Marriage Counseling Ctr Sexual Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2660 Townsgate Rd Ste 520, Westlake Village, California |
| Authorized Official Name and Position | Jackson Delord Sousa (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8053089800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marriage Counseling Ctr Sexual Health 2660 Townsgate Rd Ste 520 Westlake Village CA 91361-5712 Ph: (805) 308-9800 | Marriage Counseling Ctr Sexual Health 2660 Townsgate Rd Ste 520 Westlake Village CA 91361-5712 Ph: (805) 308-9800 |
| NPI Number | 1194411256 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194411256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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