| Northwinds Welltox | |
|
1711 E Valley Rd Montecito CA 93108-2106 | |
| (714) 865-8158 | |
| Not Available |
| Full Name | Northwinds Welltox |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1711 E Valley Rd, Montecito, California |
| Authorized Official Name and Position | Pamela Kathlyn Gerhard-johnson (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7148658158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwinds Welltox 4954 Biloxi Ave North Hollywood CA 91601-4813 Ph: (714) 865-8158 | Northwinds Welltox 1711 E Valley Rd Montecito CA 93108-2106 Ph: (714) 865-8158 |
| NPI Number | 1013435262 |
|---|---|
| Provider Enumeration Date | 09/07/2017 |
| Last Update Date | 09/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013435262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT47701 (California) | Primary |
Andrea M Kulberg Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1482 E Valley Rd Ste 17, Montecito, CA 93108 Phone: 805-705-0614 |