Provider Demographics
NPI:1033458328
Name:SIZEMORE, JOANNE (MFT)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:SIZEMORE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 STATE ST
Mailing Address - Street 2:#245
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2717
Mailing Address - Country:US
Mailing Address - Phone:805-284-4320
Mailing Address - Fax:805-617-1772
Practice Address - Street 1:1114 STATE ST
Practice Address - Street 2:#245
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2717
Practice Address - Country:US
Practice Address - Phone:805-284-4320
Practice Address - Fax:805-617-1772
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40986106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist