Angel Bridge, INC
NPI #1578635629 in Thousand Oaks, California
Provider Information
- NPI Number
- 1578635629
- Entity Type
- Organization
- Organization Name
- Angel Bridge, INC
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Nov 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1414 E THOUSAND OAKS BLVD
- Address 2
- #103
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91362-4401
- Phone
- (805) 371-1679
Authorized Official
- Name
- DR. MARY JAYNE CARLSON-COLLINS, PH.D.
- Title
- OWNER
- Phone
- (805) 371-1679
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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