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Organization
JENNIFER SU'APA'IA INDIVIDUAL AND FAMILY THERAPY
Active
Organization
JENNIFER SU'APA'IA INDIVIDUAL AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN SU'APA'IA (LMFT)
(805) 428-3830
Entity
Organization
Contact information
Practice address
509 MARIN ST STE 227, THOUSAND OAKS, CA 91360-4231
(805) 768-4777
Mailing address
2105 BOOTH ST, SIMI VALLEY, CA 93065-1103
(805) 428-3830
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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