Organization Name: | VENTURA COUNSELING CENTER |
NPI Number: | 1023498102 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAUREEN HOUTZ (CLINICAL DIRECTOR) |
Mailing Address: | 500 High Point Dr Ventura |
State: | CA US |
Postal Code: | 930031410 |
Phone Number: | 8056441650 |
Fax Number: | 8056446682 |
NPI Enumeration Date: | 06/04/2015 |
NPI Last Update Date: | 06/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IMF 61528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |