MEDICARE: MR. NATHAN OHREN LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	131572	CA

General Provider Information

NPI Number	:	1336896547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NATHAN OHREN LMFT

Provider Business Mailing Address
First Line	:	35 W MAIN ST STE B-218
Second Line	:
City	:	VENTURA
State	:	CA
Zip	:	93001-4500
Country	:	US
Telephone Number	:	805-509-1164
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 N VENTURA RD
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-3855
Country	:	US
Telephone Number	:	805-983-6014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2022
Last Update Date	:	03/08/2022

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