Healthcare Provider Details

I. General information

NPI: 1518120799
Provider Name (Legal Business Name): DELEENE ALTHEA FARQUHARSON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 WILLIAMS DR STE 165
OXNARD CA
93036-2612
US

IV. Provider business mailing address

1911 WILLIAMS DR # 125
OXNARD CA
93036-2612
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-8829
  • Fax:
Mailing address:
  • Phone: 805-794-5142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number151055
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code167G00000X
TaxonomyLicensed Psychiatric Technician
License Number31448
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: