Tierra Luz Community Practice, License Clinical Social Worker, a Professional Corporation
NPI #1972478170 in Oxnard, California
Provider Information
- NPI Number
- 1972478170
- Entity Type
- Organization
- Organization Name
- Tierra Luz Community Practice, License Clinical Social Worker, a Professional Corporation
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 7, 2025
- Last Updated
- Oct 7, 2025
Practice Location
- Address
- 721 S A ST STE C
- City
- Oxnard
- State
- California
- ZIP Code
- 93030-7179
- Phone
- (805) 767-9788
Authorized Official
- Name
- KATHLEEN JUDITH BACA LEANOS, LCSW
- Title
- CHIEF OPERATING OFFICER
- Phone
- (661) 510-2423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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