Provider Demographics
NPI:1568629160
Name:STENGER, PATRICIA FRANCES (MFT)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:FRANCES
Last Name:STENGER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:CALCAGNO
Other - Last Name:STENGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:4912 STONEHEDGE DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-7442
Mailing Address - Country:US
Mailing Address - Phone:707-537-1511
Mailing Address - Fax:707-537-1511
Practice Address - Street 1:4912 STONEHEDGE DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-7442
Practice Address - Country:US
Practice Address - Phone:707-537-1511
Practice Address - Fax:707-537-1511
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC29293101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health