Organization
JENNIFER SU'APA'IA INDIVIDUAL AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN SU'APA'IA (LMFT)
(805) 428-3830
Entity
Organization
Contact information
Practice address
509 MARIN ST STE 227, THOUSAND OAKS, CA 91360-4231
(805) 768-4777
Mailing address
2105 BOOTH ST, SIMI VALLEY, CA 93065-1103
(805) 428-3830
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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