Provider Demographics
NPI:1033815634
Name:STENSKE, KARL EDWARD
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:EDWARD
Last Name:STENSKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 TECHNOLOGY DR STE 118
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2310
Mailing Address - Country:US
Mailing Address - Phone:949-922-1115
Mailing Address - Fax:
Practice Address - Street 1:18 TECHNOLOGY DR STE 118
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2310
Practice Address - Country:US
Practice Address - Phone:949-922-1115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty