Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 39519 | CA |
NPI | 1003002007 |
---|---|
Provider Name | Mrs. Sandra Feltner |
First Address | Redwood City, CA 94062-1303 |
Second Address | Redwood City, CA 94062-1303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2007 |
Last Update Date | 24/09/2007 |