# S T REZAI FAMILY COUNSELING, PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588299614
- **Authorized official:** MRS. SEPIDEH TAKMILI REZAI LMFT (CEO)
- **Authorized official phone:** (805) 229-1887

## Contact information

- **Practice address:** 5743 CORSA AVE STE 112, WESTLAKE VILLAGE, CA 91362-6441
- **Practice address phone:** (805) 229-1887
- **Mailing address:** 5743 CORSA AVE STE 112, WESTLAKE VILLAGE, CA 91362-6441
- **Mailing address phone:** (805) 229-1887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2020
- **Last updated:** 03/09/2020
