Most Relevant Information
Provider Data
| NPI Number: | 1003351719 |
| Provider Name: | TARA BURNLEY LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 96648 |
Most Important Dates
| Enumeration Date: | 01/04/2017 |
| Last Updated: | 01/04/2017 |
Provider Practice Location
3160 TELEGRAPH RD
SUITE 200
VENTURA
CA
930033233
Practice Location Phone/Fax
| Phone: | 8055703741 |
| Fax: |
Provider Mailing Location
PO BOX 41543
SANTA BARBARA
CA
931401543
Provider Mailing Phone/Fax
| Phone: | 8055703741 |
| Fax: |