Organization
COMMUNITY COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS F LOCKE PH.D. (PARTNER)
(805) 373-1033
Entity
Organization
Contact information
Practice address
3625 E THOUSAND OAKS BLVD, SUITE #109, WESTLAKE VILLAGE, CA 91362-3626
(805) 373-1033
(805) 373-1032
Mailing address
PO BOX 7178, WESTLAKE VILLAGE, CA 91359-7178
(805) 373-1033
(805) 373-1032
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-13901
CA
103T00000X
Psychologist
Primary
PSY-17349
CA
Other
Enumeration date
01/06/2007
Last updated
08/22/2020
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