Provider Demographics
NPI:1851763460
Name:STERBENZ, ANTONIA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ANTONIA
Middle Name:
Last Name:STERBENZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:TONI
Other - Middle Name:
Other - Last Name:STERBENZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:2805 PORTER ST
Mailing Address - Street 2:
Mailing Address - City:SOQUEL
Mailing Address - State:CA
Mailing Address - Zip Code:95073-2422
Mailing Address - Country:US
Mailing Address - Phone:831-583-8600
Mailing Address - Fax:
Practice Address - Street 1:2204 S EL CAMINO REAL STE 315
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6390
Practice Address - Country:US
Practice Address - Phone:605-003-3257
Practice Address - Fax:858-538-8319
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-22
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112810106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist