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Organization
VISTA CENTER FOR COUNSELING AND PSYCHOTHERAPY
Active
Organization
VISTA CENTER FOR COUNSELING AND PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY T DOUSETTE PHD MFT (PRES OWNER)
(818) 980-0202
Entity
Organization
Contact information
Practice address
4507 AUCKLAND AVE, TOLUCA LAKE, CA 91602
(818) 980-0202
(818) 952-9044
Mailing address
4507 AUCKLAND AVE, TOLUCA LAKE, CA 91602
(818) 980-0202
(818) 952-9044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY18158
CA
106H00000X
Marriage & Family Therapist
Primary
MK22157
CA
Other
Enumeration date
01/19/2007
Last updated
09/11/2025
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