Provider Demographics
NPI:1184922924
Name:TAFT, STEPHEN S V (MFT# 53360)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:S
Last Name:TAFT
Suffix:V
Gender:M
Credentials:MFT# 53360
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6520 LONETREE BLVD # 120
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5874
Mailing Address - Country:US
Mailing Address - Phone:916-256-3178
Mailing Address - Fax:844-525-1517
Practice Address - Street 1:6520 LONETREE BLVD # 120
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765
Practice Address - Country:US
Practice Address - Phone:916-256-3178
Practice Address - Fax:844-525-1517
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT# 53360101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health