Organization
EMPIRE THERAPEUTIC & CREATIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY COULTAS LMFT (CO-OWNER)
(805) 798-3723
Entity
Organization
Contact information
Practice address
260 MAPLE CT, VENTURA, CA 93003-3516
(805) 798-3723
Mailing address
260 MAPLE CT, VENTURA, CA 93003-3516
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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