Healthcare Provider Details

I. General information

NPI: 1346830668
Provider Name (Legal Business Name): DENIELLE LOUISE MORRISON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DENIELLE LOUISE MUCCIACITO

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 NILE RIVER DR
OXNARD CA
93036-5354
US

IV. Provider business mailing address

725 NILE RIVER DR
OXNARD CA
93036-5354
US

V. Phone/Fax

Practice location:
  • Phone: 805-218-3468
  • Fax:
Mailing address:
  • Phone: 805-218-3468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number101305
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: