| The Vine Family Counseling, Professional Corporation | |
|
1765 Goodyear Ave Ste 207 Ventura CA 93003-8026 | |
| (805) 832-2977 | |
| Not Available |
| Full Name | The Vine Family Counseling, Professional Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1765 Goodyear Ave Ste 207, Ventura, California |
| Authorized Official Name and Position | Daisy Cortes Polido (OWNER) |
| Authorized Official Contact | 8058322977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Vine Family Counseling, Professional Corporation 2249 Pajaro St Oxnard CA 93030-0128 Ph: (805) 832-2977 | The Vine Family Counseling, Professional Corporation 1765 Goodyear Ave Ste 207 Ventura CA 93003-8026 Ph: (805) 832-2977 |
| NPI Number | 1629807870 |
|---|---|
| Provider Enumeration Date | 07/27/2024 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629807870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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