Provider Demographics
NPI:1326479718
Name:CEFALU, STEVEN A (LMFT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:A
Last Name:CEFALU
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 WESTERN AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-2979
Mailing Address - Country:US
Mailing Address - Phone:707-765-9497
Mailing Address - Fax:707-778-8404
Practice Address - Street 1:24 WESTERN AVE STE 303
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-2979
Practice Address - Country:US
Practice Address - Phone:707-765-9497
Practice Address - Fax:707-778-8404
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT29477106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist