Organization
TRACEY ST.JOHNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY ST.JOHNS (MARRIAGE AND FAMILY THERAPIST)
(805) 637-1620
Entity
Organization
Contact information
Practice address
4474 MARKET ST, VENTURA, CA 93003-8023
(805) 637-1620
Mailing address
4474 MARKET ST, VENTURA, CA 93003-8023
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MFT31433
CA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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