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Organization
THRIVEWORKS CLINICAL - CALIFORNIA PC
Active
Organization
THRIVEWORKS CLINICAL - CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE JENNINGS (CREDENTIALING MANAGER)
(617) 454-4916
Entity
Organization
Contact information
Practice address
2804 CAMINO DOS RIOS STE 206, THOUSAND OAKS, CA 91320-1175
(855) 284-7483
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
02/11/2025
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