MEDICARE: RUFUS COURTNEY GWYN MFT

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	LMFT95070	CA

General Provider Information

NPI Number	:	1932603438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUFUS COURTNEY GWYN MFT

Provider Business Mailing Address
First Line	:	123 HODENCAMP RD STE 205
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-5834
Country	:	US
Telephone Number	:	917-865-9001
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 HODENCAMP RD STE 205
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-5834
Country	:	US
Telephone Number	:	917-865-9001
Fax Number	:

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

Provider Enumeration Date	:	03/20/2018
Last Update Date	:	03/20/2018

Similar Medicare Providers

1174109128 — CLEAN TREATMENT CENTER, INC.
Practice Location Address:

123 HODENCAMP RD STE 205
THOUSAND OAKS, CA
91360-5834

Practice Phone: 213-700-6050
Practice Fax:

1255096426 — LIFESPAN: A CENTER FOR FAMILY PSYCHOLOGICAL SERVICES INC.
Practice Location Address:

2801 TOWNSGATE RD STE 133
THOUSAND OAKS, CA
91361-5834

Practice Phone: 805-852-5039
Practice Fax: 818-279-0585

1255340576 — DR. SUSAN IRENE KOENIG LMFT
Practice Location Address:

4711 NEW YORK AVE
FAIR OAKS, CA
95628-5834

Practice Phone: 916-967-4956
Practice Fax: 916-965-6212

1376777961 — MRS. KAREN ARACE M.A., CCC SLP
Practice Location Address:

3563 TERRA OAKS CT
LONGWOOD, FL
32779-5834

Practice Phone: 407-694-5494
Practice Fax: 407-774-2469

1366391112 — JIWOO KIM
Practice Location Address:

501 MARIN ST STE 225
THOUSAND OAKS, CA
91360-4301

Practice Phone: 805-379-1401
Practice Fax:

1750231809 — AUDREY CREEL
Practice Location Address:

50 W HILLCREST DR STE 206
THOUSAND OAKS, CA
91360-4232

Practice Phone: 805-800-9865
Practice Fax:

Directions to “ RUFUS COURTNEY GWYN MFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.