Individual provider · Type 1 NPI

Sharon Izen-Tengbergen, M.F.T.

Mental Health Counselor · Vacaville, CA

NPI number 1386786572 Active

Practice location

419 Mason St Ste 201
Vacaville, CA 95688-4535

Call (707) 491-4494 Map

Fax (707) 766-9953

Mailing address

925 Lakeville St # 254
Petaluma, CA 94952-3329

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC 31994 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1386786572

Sharon Izen-Tengbergen, M.F.T.'s National Provider Identifier is 1386786572, issued on Feb 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vacaville, CA. The record was last updated on Jul 8, 2007.