| Tribute Cps | |
|
9017 Reseda Blvd Ste 204 Northridge CA 91324-3985 | |
| (818) 927-1284 | |
| Not Available |
| Full Name | Tribute Cps |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 9017 Reseda Blvd Ste 204, Northridge, California |
| Authorized Official Name and Position | Jason March (STAFF) |
| Authorized Official Contact | 8189271284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tribute Cps 29140 Diablo Pl Castaic CA 91384-3544 Ph: (818) 927-1284 | Tribute Cps 9017 Reseda Blvd Ste 204 Northridge CA 91324-3985 Ph: (818) 927-1284 |
| NPI Number | 1922641760 |
|---|---|
| Provider Enumeration Date | 10/24/2019 |
| Last Update Date | 03/14/2021 |
| Certification Date | 03/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922641760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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