Organization
LEADING EDGE TRANSITIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED WRABLIK MFT (CEO)
(805) 340-8055
Entity
Organization
Contact information
Practice address
155 GRANADA ST, SUITE A, CAMARILLO, CA 93010-7866
(805) 340-8055
Mailing address
9050 FEATHER ST, VENTURA, CA 93004-3046
(805) 340-8055
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMFT49057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMFT49057
MFT
CA
Enumeration date
10/08/2014
Last updated
10/08/2014
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