Healthcare Provider Details

I. General information

NPI: 1154526754
Provider Name (Legal Business Name): NICOLE ZOE STELTER PHD, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 DALEY ST
LADERA RANCH CA
92694-0404
US

IV. Provider business mailing address

9 DALEY ST
LADERA RANCH CA
92694-0404
US

V. Phone/Fax

Practice location:
  • Phone: 562-449-7235
  • Fax: 562-449-7235
Mailing address:
  • Phone: 562-449-7235
  • Fax: 562-449-7235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC35379
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: