Healthcare Provider Details

I. General information

NPI: 1457280083
Provider Name (Legal Business Name): STILL WATERS FAMILY COUNSELING PROF. CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 HEMINGWAY DR
SALINAS CA
93906-4644
US

IV. Provider business mailing address

1550 CANYON DEL REY BLVD # 1062
SEASIDE CA
93955-3501
US

V. Phone/Fax

Practice location:
  • Phone: 831-295-5784
  • Fax:
Mailing address:
  • Phone: 831-295-5784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MADONNA M NAVARRO
Title or Position: PRESIDENT
Credential: LMFT
Phone: 831-295-5784