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Organization
MARRIAGE COUNSELING CTR SEXUAL HEALTH
Active
Organization
MARRIAGE COUNSELING CTR SEXUAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKSON DELORD SOUSA LMFT (CLINICAL DIRECTOR)
(805) 279-2088
Entity
Organization
Contact information
Practice address
2660 TOWNSGATE RD STE 520, WESTLAKE VILLAGE, CA 91361-5712
(805) 308-9800
(805) 230-2210
Mailing address
2660 TOWNSGATE RD STE 520, WESTLAKE VILLAGE, CA 91361-5712
(805) 308-9800
(805) 230-2210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
08/25/2025
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