Provider Demographics
NPI:1437406808
Name:MARKS, STEPHANIE LINDA (LPC, LPCC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LINDA
Last Name:MARKS
Suffix:
Gender:F
Credentials:LPC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1346 THE ALAMEDA
Mailing Address - Street 2:STE 7 MB 200
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126
Mailing Address - Country:US
Mailing Address - Phone:408-520-1152
Mailing Address - Fax:
Practice Address - Street 1:131 RHODES CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2754
Practice Address - Country:US
Practice Address - Phone:816-799-7365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-05
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69238101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional