MEDICARE: DR. DAVID JUNG MCGARVA LMFT, LPCC

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	101YM0800X	Mental Health Counselor		CA
2	106H00000X	Marriage & Family Therapist	42154	CA

General Provider Information

NPI Number	:	1699775130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID JUNG MCGARVA LMFT, LPCC

Provider Business Mailing Address
First Line	:	30721 RUSSELL RANCH RD STE 140
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91362-7383
Country	:	US
Telephone Number	:	818-584-6789
Fax Number	:

Provider Business Practice Location Address
First Line	:	30721 RUSSELL RANCH RD STE 140
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91362-7383
Country	:	US
Telephone Number	:	818-584-6789
Fax Number	:	301-576-6789

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

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	08/05/2020

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