Provider Demographics
NPI:1689844185
Name:DALTON STEIN, DEBRA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:
Last Name:DALTON STEIN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:DALTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:22 W MICHELTORENA ST STE A
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-6526
Mailing Address - Country:US
Mailing Address - Phone:805-637-1050
Mailing Address - Fax:
Practice Address - Street 1:22 W MICHELTORENA ST STE A
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6526
Practice Address - Country:US
Practice Address - Phone:805-637-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27111106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist