Provider Demographics
NPI:1083772776
Name:SAINT CLAIR, BARBARA ELAINE (MFT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ELAINE
Last Name:SAINT CLAIR
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:POB 887
Mailing Address - Street 2:
Mailing Address - City:WINTERS
Mailing Address - State:CA
Mailing Address - Zip Code:95694-0887
Mailing Address - Country:US
Mailing Address - Phone:707-291-4094
Mailing Address - Fax:707-643-4109
Practice Address - Street 1:419 MASON ST
Practice Address - Street 2:SUITE 201
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688
Practice Address - Country:US
Practice Address - Phone:707-291-4094
Practice Address - Fax:707-643-4109
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC22641106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist