Doctor Name: | STEPHANIE WADE CHASTAIN |
NPI Number: | 1043313349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT |
License Number: | MFT24844 |
Business Practice Address: | 214 W. Franklin Street Suite 406 Monterey, CA - 93940 |
Business Phone Number: | 8313754860 |
Business Fax Number: | 8313751509 |
Mailing Address: | Po Box 1671, MONTEREY |
State: | CA |
Postal Code: | 939421671 |
Phone Number: | 8313754860 |
Fax Number: | 8313751509 |
NPI Enumeration Date: | 09/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFT24844 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |