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Organization

VINE FAMILY COUNSELING, PROFESSIONAL CORPORATION

Active
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Organization

VINE FAMILY COUNSELING, PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAISY CORTES POLIDO LMFT (OWNER)
(805) 832-2977
Entity
Organization

Contact information

Practice address
1765 GOODYEAR AVE STE 207, VENTURA, CA 93003-8026
(805) 832-2977
Mailing address
2249 PAJARO ST, OXNARD, CA 93030-0128
(805) 832-2977

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—

Other

Enumeration date
07/27/2024
Last updated
11/03/2025
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