Individual
JACQUELYN MARIE TOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTI
Contact information
Practice address
759 POLI ST APT B, VENTURA, CA 93001-5965
(805) 766-4585
Mailing address
759 POLI ST APT B, VENTURA, CA 93001-5965
(805) 766-4590
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
IMF86874
CA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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