Provider Demographics
NPI:1831315928
Name:SCHAEFER, VONDA KAY (MFT)
Entity Type:Individual
Prefix:
First Name:VONDA
Middle Name:KAY
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1483 AALBORG WAY
Mailing Address - Street 2:
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93463-2001
Mailing Address - Country:US
Mailing Address - Phone:805-688-0203
Mailing Address - Fax:805-688-9857
Practice Address - Street 1:2900 NOJOQUI AVENUE
Practice Address - Street 2:SUITE I
Practice Address - City:LOS OLIVOS
Practice Address - State:CA
Practice Address - Zip Code:93441
Practice Address - Country:US
Practice Address - Phone:805-688-0203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43545106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist