# VINE FAMILY COUNSELING, PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1629807870
- **Authorized official:** MRS. DAISY CORTES POLIDO LMFT (OWNER)
- **Authorized official phone:** (805) 832-2977

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2024
- **Last updated:** 11/03/2025