Provider Demographics
NPI:1285659086
Name:FONTELIEU, SUKEY (SUKEY FONTELIEU)
Entity Type:Individual
Prefix:MS
First Name:SUKEY
Middle Name:
Last Name:FONTELIEU
Suffix:
Gender:F
Credentials:SUKEY FONTELIEU
Other - Prefix:MS
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:FONTELIEU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SUKEY FONTELIEU
Mailing Address - Street 1:2795 BEN LOMOND DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2202
Mailing Address - Country:US
Mailing Address - Phone:805-898-1551
Mailing Address - Fax:805-898-1551
Practice Address - Street 1:2795 BEN LOMOND DR
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2202
Practice Address - Country:US
Practice Address - Phone:805-898-1551
Practice Address - Fax:805-898-1551
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 35852106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist