Tide and Shore Marriage and Family Therapy
NPI #1174401236 in Thousand Oaks, California
Provider Information
- NPI Number
- 1174401236
- Entity Type
- Organization
- Organization Name
- Tide and Shore Marriage and Family Therapy
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Aug 25, 2025
- Last Updated
- Aug 25, 2025
Practice Location
- Address
- 516 PENNSFIELD PL STE 208
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91360-5530
- Phone
- (805) 694-0251
Authorized Official
- Name
- KAIDI LIU
- Title
- OWNER
- Phone
- (818) 606-9079
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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