Provider Demographics
NPI:1841608569
Name:BIRKHOFER, CELESTE PHANEUF (MFT, PHD)
Entity Type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:PHANEUF
Last Name:BIRKHOFER
Suffix:
Gender:F
Credentials:MFT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 UNIVERSITY DR #102
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025
Mailing Address - Country:US
Mailing Address - Phone:650-323-3428
Mailing Address - Fax:650-257-3129
Practice Address - Street 1:1220 UNIVERSITY DR #102
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025
Practice Address - Country:US
Practice Address - Phone:650-323-3428
Practice Address - Fax:650-257-3129
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-25
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 102L00000X
CAMFT25087106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst