Provider Demographics
NPI:1740408285
Name:STROHBEHN, CONNIE (MS,MFT)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:
Last Name:STROHBEHN
Suffix:
Gender:F
Credentials:MS,MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2729 4TH AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-6223
Mailing Address - Country:US
Mailing Address - Phone:619-295-7312
Mailing Address - Fax:858-490-6292
Practice Address - Street 1:2729 4TH AVE STE 4
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-6223
Practice Address - Country:US
Practice Address - Phone:619-295-7312
Practice Address - Fax:858-490-6292
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC14970106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist