Provider Demographics
NPI:1396015426
Name:SENTNER, TINA L (CADC II, LAADC-NR)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:L
Last Name:SENTNER
Suffix:
Gender:F
Credentials:CADC II, LAADC-NR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 BETHANY CURV
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-5312
Mailing Address - Country:US
Mailing Address - Phone:831-239-3088
Mailing Address - Fax:408-279-0436
Practice Address - Street 1:571 BETHANY CURV
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-5312
Practice Address - Country:US
Practice Address - Phone:831-239-3088
Practice Address - Fax:408-279-0436
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)