Provider Demographics
NPI:1093901779
Name:ST MARIE, ANNETTE DEAN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:DEAN
Last Name:ST MARIE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3772
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91313-3772
Mailing Address - Country:US
Mailing Address - Phone:707-332-8008
Mailing Address - Fax:805-850-7085
Practice Address - Street 1:1211 MARICOPA HWY STE 265
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-3161
Practice Address - Country:US
Practice Address - Phone:707-332-8008
Practice Address - Fax:805-850-7085
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC-51884106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist