Individual
MS. HEIDI MEZZATESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT, PHD(C)
Contact information
Practice address
2390C LAS POSAS RD # 140, CAMARILLO, CA 93010-3403
(818) 497-5855
Mailing address
2390C LAS POSAS RD # 140, CAMARILLO, CA 93010-3403
(818) 497-5855
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
LMFT102533
CA
Other
Enumeration date
07/30/2020
Last updated
09/08/2020
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