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Organization

PSYCHOLOGICAL SERVICES FOR FAMILIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOELLEN NM STEVENS PH.D. (CEO)
(805) 487-2244
Entity
Organization

Contact information

Practice address
410 N A ST, OXNARD, CA 93030-4916
(805) 487-2244
(805) 487-2255
Mailing address
410 N A ST, OXNARD, CA 93030
(805) 487-2244
(805) 487-2255

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CATC 040927
CA
101YM0800X
Mental Health Counselor
ASW29504
CA
103TC0700X
Clinical Psychologist
PSY 12171
CA
106H00000X
Marriage & Family Therapist
MFT 39699
CA
106H00000X
Marriage & Family Therapist
MFT 42770
CA
106H00000X
Marriage & Family Therapist
MFT 48335
CA
106H00000X
Marriage & Family Therapist
MFT 49027
CA
261QA0600X
Adult Day Care Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
276400000X
Substance Use Disorder Rehabilitation Hospital Unit

Other

Enumeration date
07/09/2012
Last updated
06/15/2022
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