Provider Demographics
NPI:1154961605
Name:STURMAN, CHANTIA NICOLE (LMFT)
Entity type:Individual
Prefix:
First Name:CHANTIA
Middle Name:NICOLE
Last Name:STURMAN
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:CHANTIA
Other - Middle Name:NICOLE
Other - Last Name:JUSTICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 70764
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97475-0136
Mailing Address - Country:US
Mailing Address - Phone:760-833-1158
Mailing Address - Fax:541-275-0572
Practice Address - Street 1:1717 CENTENNIAL BLVD STE 12
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-3378
Practice Address - Country:US
Practice Address - Phone:760-833-1158
Practice Address - Fax:541-275-0572
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-13
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111034106H00000X
CA122661106H00000X
ORT1932106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist