MEDICARE: CONNIE STROHBEHN M.S.,MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC14970	CA

General Provider Information

NPI Number	:	1740408285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONNIE STROHBEHN M.S.,MFT

Provider Business Mailing Address
First Line	:	2729 4TH AVE STE 4
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-6223
Country	:	US
Telephone Number	:	619-295-7312
Fax Number	:	858-490-6292

Provider Business Practice Location Address
First Line	:	2729 4TH AVE STE 4
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-6223
Country	:	US
Telephone Number	:	619-295-7312
Fax Number	:	858-490-6292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2007
Last Update Date	:	07/08/2007

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