Organization
SSG SCHOOL PSYCHOLOGY AND MENTAL HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG MOES PH.D. (PRESIDENT)
(805) 915-9912
Entity
Organization
Contact information
Practice address
4880 MARKET ST, VENTURA, CA 93003-7783
(805) 364-8521
Mailing address
4880 MARKET ST, VENTURA, CA 93003-7783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TS0200X
School Psychologist
—
—
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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