Individual provider · Type 1 NPI

Frieda Violet Stacho

Mental Health Counselor · La Selva Beach, CA

NPI number 1659518405 Active

Practice location

9C Marea Ave
La Selva Beach, CA 95076-1726

Call (831) 688-6293 Map

Mailing address

PO Box 3193
Santa Cruz, CA 95063-3193

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659518405

Frieda Violet Stacho's National Provider Identifier is 1659518405, issued on Jan 15, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Selva Beach, CA. The record was last updated on Jan 15, 2009.