Provider Demographics
NPI:1932750510
Name:STENDER-BONDESSON, SAVONNA (ASW)
Entity Type:Individual
Prefix:
First Name:SAVONNA
Middle Name:
Last Name:STENDER-BONDESSON
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:SAVONNA
Other - Middle Name:
Other - Last Name:STENDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:251 LLEWELLYN AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-1940
Mailing Address - Country:US
Mailing Address - Phone:408-379-3790
Mailing Address - Fax:
Practice Address - Street 1:75 E SANTA CLARA ST STE 1450
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95113-1840
Practice Address - Country:US
Practice Address - Phone:408-595-7112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health