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General NPI Number Information
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NPI Number | 1326392598
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Entity Type | Organization
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Legal Business Name | MCGARVA THERAPY
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 30721 RUSSELL RANCH RD STE 140
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-7383
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Country | US
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Telephone | 818-835-2514
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Fax |
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Provider Business Mailing Address
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Address Line | 30721 RUSSELL RANCH RD STE 140
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-7383
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Country | US
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Telephone | 818-835-2514
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DAVID JUNG MCGARVA
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Credential |
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Telephone | 818-584-6789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 42154
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC 111
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC 96
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 49540
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License Number State | CA
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