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Organization
JEG THERAPY LICENSED CLINICAL SOCIAL WORKERS, INC
Active
Organization
JEG THERAPY LICENSED CLINICAL SOCIAL WORKERS, INC
Active
Other names
JEG Therapy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON GILLARD LCSW (PRESIDENT / CLINICIAN)
(818) 521-3867
Entity
Organization
Contact information
Practice address
2659 TOWNSGATE RD STE 226, WESTLAKE VILLAGE, CA 91361-2755
(818) 521-3867
Mailing address
21529 SATICOY ST APT 206, CANOGA PARK, CA 91304-4962
(818) 521-3867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25769
CA
Other
Enumeration date
10/14/2017
Last updated
02/12/2020
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