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NPI Code Detail

MEDICARE: STEPHANIE JOY SHOCKNEY MFT

MEDICARE: STEPHANIE JOY SHOCKNEY 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
1101YM0800XMental Health CounselorIMF 47985CA
2106H00000XMarriage & Family TherapistLMFT91323CA

General Provider Information

NPI Number : 1669599759
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE JOY SHOCKNEY MFT
Provider Business Mailing Address
First Line : 11731 TELEGRAPH RD STE G
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-6819
Country : US
Telephone Number : 562-942-8256
Fax Number :
Provider Business Practice Location Address
First Line : 11731 TELEGRAPH RD STE G
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-6819
Country : US
Telephone Number : 562-942-8256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 05/31/2023

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Directions to “ STEPHANIE JOY SHOCKNEY MFT” Practice Location

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