Provider Demographics
NPI:1912356627
Name:MARKEY, DEANNA MARIE (LMFT)
Entity type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:MARIE
Last Name:MARKEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:MARIE
Other - Last Name:SCHLAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3506
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95402-3506
Mailing Address - Country:US
Mailing Address - Phone:707-280-0685
Mailing Address - Fax:
Practice Address - Street 1:819 3RD ST
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-4545
Practice Address - Country:US
Practice Address - Phone:707-280-0685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116065106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist