JONATHAN GAVIN PORTO

THOUSAND OAKS, CA
NPI1184974073
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  150139)
Enumeration Date2012-09-18
Last Update Date2025-01-21
Business Address
JONATHAN GAVIN PORTO LMFT 150139
1400 E JANSS RD
THOUSAND OAKS, CA 91362-2133
Phone number: 805-497-9511
Mailing Address
JONATHAN GAVIN PORTO LMFT 150139
567 W CHANNEL ISLANDS BLVD # 166
PORT HUENEME, CA 93041-2133
Phone number: 805-512-6764
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