Healthcare Provider Details

I. General information

NPI: 1811753965
Provider Name (Legal Business Name): KAYLA MAUREEN ATKINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 COHASSET RD STE 120
CHICO CA
95926-2282
US

IV. Provider business mailing address

1906 ELM ST UNIT A
CHICO CA
95928-6725
US

V. Phone/Fax

Practice location:
  • Phone: 530-877-8187
  • Fax:
Mailing address:
  • Phone: 530-723-2893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: