Individual provider · Type 1 NPI

Sandra Provencio

Marriage & Family Therapist · Santa Maria, CA

NPI number 1831346816 Active

Practice location

1414 S Miller St Ste S
Santa Maria, CA 93454-6962

Fax (805) 287-9198

Mailing address

800 S Broadway Ste 203
Santa Maria, CA 93454-6623

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X87223 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1831346816

Sandra Provencio's National Provider Identifier is 1831346816, issued on Aug 21, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Maria, CA. The record was last updated on Mar 9, 2026.