| Ngl Therapy, Licensed Clinical Social Worker, Professional Corporation | |
|
3019 E Avenida De Los Arboles Thousand Oaks CA 91362-4925 | |
| (805) 225-4493 | |
| Not Available |
| Full Name | Ngl Therapy, Licensed Clinical Social Worker, Professional Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3019 E Avenida De Los Arboles, Thousand Oaks, California |
| Authorized Official Name and Position | Nicole G Levine-kapke (FOUNDER, THERAPIST) |
| Authorized Official Contact | 8052254493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ngl Therapy, Licensed Clinical Social Worker, Professional Corporation 3019 E Avenida De Los Arboles Thousand Oaks CA 91362-4925 Ph: (805) 225-4493 | Ngl Therapy, Licensed Clinical Social Worker, Professional Corporation 3019 E Avenida De Los Arboles Thousand Oaks CA 91362-4925 Ph: (805) 225-4493 |
| NPI Number | 1275392185 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275392185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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