Provider Demographics
NPI:1033682687
Name:SANDERS, STEPHANIE FRANCES (MA, LPCC, AMFT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:FRANCES
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MA, LPCC, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27352 BAVELLA WAY
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-1586
Mailing Address - Country:US
Mailing Address - Phone:619-549-8361
Mailing Address - Fax:
Practice Address - Street 1:411 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-1688
Practice Address - Country:US
Practice Address - Phone:831-769-1833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA114932106H00000X
CA16630101YP2500X
CAR1337610219101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA16630OtherLICENSED PROFESSIONAL CLINICAL COUNSELOR
CA114932OtherASSOCIATE MARRIAGE AND FAMILY THERAPIST