| Tessa G Inc. | |
|
5798 Oak Bank Trl Unit 105 Oak Park CA 91377-5631 | |
| (805) 444-7074 | |
| Not Available |
| Full Name | Tessa G Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5798 Oak Bank Trl Unit 105, Oak Park, California |
| Authorized Official Name and Position | Theresa Gillibrand (MANAGER) |
| Authorized Official Contact | 8054447074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tessa G Inc. Po Box 7032 Westlake Vlg CA 91359-7032 Ph: (805) 444-7074 | Tessa G Inc. 5798 Oak Bank Trl Unit 105 Oak Park CA 91377-5631 Ph: (805) 444-7074 |
| NPI Number | 1093391831 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 03/22/2021 |
| Certification Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093391831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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