| Tide And Shore Marriage And Family Therapy | |
|
516 Pennsfield Pl Ste 208 Thousand Oaks CA 91360-5530 | |
| (805) 694-0251 | |
| Not Available |
| Full Name | Tide And Shore Marriage And Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 516 Pennsfield Pl Ste 208, Thousand Oaks, California |
| Authorized Official Name and Position | Kaidi Liu (OWNER) |
| Authorized Official Contact | 8186069079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tide And Shore Marriage And Family Therapy 2075 Hietter Ave Simi Valley CA 93063-2851 Ph: (805) 694-0251 | Tide And Shore Marriage And Family Therapy 516 Pennsfield Pl Ste 208 Thousand Oaks CA 91360-5530 Ph: (805) 694-0251 |
| NPI Number | 1174401236 |
|---|---|
| Provider Enumeration Date | 08/25/2025 |
| Last Update Date | 08/25/2025 |
| Certification Date | 08/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174401236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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