Provider Demographics
NPI:1639444821
Name:FELDSHTERN, EVGENIA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:EVGENIA
Middle Name:
Last Name:FELDSHTERN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-3539
Mailing Address - Country:US
Mailing Address - Phone:510-434-4022
Mailing Address - Fax:
Practice Address - Street 1:433 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-3539
Practice Address - Country:US
Practice Address - Phone:510-434-4022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43776106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist