Provider Demographics
NPI:1063574648
Name:SETTLE, VICKIE LYNN (MFT)
Entity type:Individual
Prefix:
First Name:VICKIE
Middle Name:LYNN
Last Name:SETTLE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 MENDOCINO AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401-4813
Mailing Address - Country:US
Mailing Address - Phone:707-568-5522
Mailing Address - Fax:
Practice Address - Street 1:920 MENDOCINO AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401-4813
Practice Address - Country:US
Practice Address - Phone:707-568-5522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35993106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist