Provider Demographics
NPI:1295544567
Name:OBERSTE, JUSTIN KYLE (MA, LMFT)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:KYLE
Last Name:OBERSTE
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 VEREDA DEL CIERVO
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-5337
Mailing Address - Country:US
Mailing Address - Phone:770-845-1363
Mailing Address - Fax:
Practice Address - Street 1:860 VEREDA DEL CIERVO
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-5337
Practice Address - Country:US
Practice Address - Phone:770-845-1363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA146326106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist