Healthcare Provider Details

I. General information

NPI: 1902953680
Provider Name (Legal Business Name): DENNIS ALAN SCHAFER MFTI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 03/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

564 RIO LINDO AVE SUITE 204
CHICO CA
95926-1852
US

IV. Provider business mailing address

24 LOWER LAKE CT
CHICO CA
95928-7334
US

V. Phone/Fax

Practice location:
  • Phone: 530-879-3950
  • Fax: 530-879-3949
Mailing address:
  • Phone: 530-342-2948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFTI51048
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: