Provider Demographics
NPI:1679887228
Name:SANCHEZ RUBALCAVA, STEPHANIE MONIQUE (MA)
Entity Type:Individual
Prefix:MISS
First Name:STEPHANIE
Middle Name:MONIQUE
Last Name:SANCHEZ RUBALCAVA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 MONTGOMERY ST STE 1400
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-1247
Mailing Address - Country:US
Mailing Address - Phone:855-427-2778
Mailing Address - Fax:
Practice Address - Street 1:456 MONTGOMERY ST STE 1400
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-1247
Practice Address - Country:US
Practice Address - Phone:855-427-2778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist