Provider Demographics
NPI:1285867606
Name:DENDAAS, GAYLE (MA MFT CHT)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:
Last Name:DENDAAS
Suffix:
Gender:F
Credentials:MA MFT CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 GRANDVIEW PLACE
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595
Mailing Address - Country:US
Mailing Address - Phone:925-934-1074
Mailing Address - Fax:925-938-2823
Practice Address - Street 1:94 GRANDVIEW PLACE
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595
Practice Address - Country:US
Practice Address - Phone:925-934-1074
Practice Address - Fax:925-938-2823
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 42160106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist