George Naves
Individual provider Active NPI Marriage & Family Therapist · Stevenson Ranch, CA
NPI 1194153064 · NPPES record last updated Aug 10, 2019
Key facts
- NPI
- 1194153064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT101327 (CA)
- Practice address
- 25101 The Old Rd Ste 131
Stevenson Ranch, CA 91381-2206 - Phone
- (818) 317-8670
- Fax
- (661) 554-7071
- NPI assigned
- Oct 31, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT101327 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Kids Organization | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT101327 | CA | Yes |
Addresses
Primary practice location
25101 The Old Rd Ste 131
Stevenson Ranch, CA 91381-2206
Mailing address
2422 N Naomi St Apt B
Burbank, CA 91504-3234
Phone (818) 317-8670
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All providers in Stevenson Ranch, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.