| Westlake Trauma Therapy | |
|
28720 Roadside Dr Ste 177 Agoura Hills CA 91301-4570 | |
| (805) 358-9677 | |
| Not Available |
| Full Name | Westlake Trauma Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 28720 Roadside Dr Ste 177, Agoura Hills, California |
| Authorized Official Name and Position | Ashley Carson (PRESIDENT) |
| Authorized Official Contact | 8184895395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westlake Trauma Therapy 152 Maegan Pl Apt 9 Thousand Oaks CA 91362-2795 Ph: (818) 489-5395 | Westlake Trauma Therapy 28720 Roadside Dr Ste 177 Agoura Hills CA 91301-4570 Ph: (805) 358-9677 |
| NPI Number | 1154014546 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154014546 | NPI | - | NPPES |
| 1154014546 | Other | CA | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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