Healthcare Provider Details

I. General information

NPI: 1831254341
Provider Name (Legal Business Name): EAP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1068 EAST AVE STE A-1
CHICO CA
95926-1051
US

IV. Provider business mailing address

1068 EAST AVE STE A-1
CHICO CA
95926-1051
US

V. Phone/Fax

Practice location:
  • Phone: 530-891-1513
  • Fax: 530-891-6274
Mailing address:
  • Phone: 530-891-1513
  • Fax: 530-891-6274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMFC4394
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCS18165
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFC 22115
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFC 25412
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFC 24270
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCS 20723
License Number StateCA

VIII. Authorized Official

Name: MS. KAREN ACKER
Title or Position: OFFICE MANAGER
Credential:
Phone: 530-891-5571