Northwinds Welltox | |
1711 E Valley Rd Montecito CA 93108-2106 | |
(714) 865-8158 | |
Not Available |
Full Name | Northwinds Welltox |
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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 |
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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 |
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Provider Enumeration Date | 09/07/2017 |
Last Update Date | 09/07/2017 |
Identifier | Type | State | Issuer |
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1013435262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | LMFT47701 (California) | Primary |