Provider Demographics
NPI:1699775130
Name:MCGARVA, DAVID JUNG (LMFT, LPCC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JUNG
Last Name:MCGARVA
Suffix:
Gender:M
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30721 RUSSELL RANCH RD STE 140
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-7383
Mailing Address - Country:US
Mailing Address - Phone:818-584-6789
Mailing Address - Fax:
Practice Address - Street 1:30721 RUSSELL RANCH RD STE 140
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-7383
Practice Address - Country:US
Practice Address - Phone:818-584-6789
Practice Address - Fax:301-576-6789
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
CA42154106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health