Provider Demographics
NPI:1457694135
Name:GARCIA, OLGA FRANCES (MS)
Entity Type:Individual
Prefix:MS
First Name:OLGA
Middle Name:FRANCES
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 HAMPSHIRE RD STE 218
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2546
Mailing Address - Country:US
Mailing Address - Phone:805-279-6717
Mailing Address - Fax:
Practice Address - Street 1:650 HAMPSHIRE RD STE 218
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-2546
Practice Address - Country:US
Practice Address - Phone:805-279-6717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF73349106H00000X
CA113745106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist