NPI 1033512181

Tracey St.Johns

Organisation Preferred Provider Organization Ventura, CA

Practice location

Address: 4474 Market St, Ventura, CA 93003-8023
Phone: (805) 637-1620

Authorised official

Name: Tracey St.Johns
Title: Marriage and Family Therapist
Phone: (805) 637-1620

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MFT31433 (CA)

Other Preferred Provider Organization providers in California →

Registry record

NPI: 1033512181
Entity type: Organization
NPI issued: 3 Oct 2014
Record last updated: 3 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.