CorpID/LocID

Practitioner List:

 TARZANA TREATMENT CENTERS, INC.
 18700 Oxnard Street,
 Tarzana, CA  91356

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First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
CASSIDYTODD Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1871047654 94025947Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
JESSICALASATER Licensed Clinical Psychologist (LCP) 1467885277R1265510917Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes