Provider Demographics
NPI:1477220333
Name:CREE, STEPHANIE (MFT)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:
Last Name:CREE
Suffix:
Gender:F
Credentials:MFT
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 1045
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93116-1045
Mailing Address - Country:US
Mailing Address - Phone:805-252-2832
Mailing Address - Fax:
Practice Address - Street 1:1693 MISSION DR
Practice Address - Street 2:SUITE 204
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-2635
Practice Address - Country:US
Practice Address - Phone:805-252-2832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT42721106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist