Emmitt, Mark

Emmitt, Mark is an sole proprietor health care provider with primary practice located at 3625 E Thousand Oaks Blvd , Westlake Village CA 91362-3626. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Emmitt, Mark can be contacted via phone (818) 857-7175.

Contact Information

Primary practice address
3625 E Thousand Oaks Blvd Westlake Village CA 91362-3626
Phone: (818) 857-7175
Fax: (818) 441-0014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 40444 California

Profile Details

NPI number 1770617789
LBN Legal business name Emmitt, Mark
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770617789 NPPES
California Other SYC1018 MEDICAL

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