Healthcare Provider Details

I. General information

NPI: 1417018573
Provider Name (Legal Business Name): FRANCINE E KALSO MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 COHASSET ROAD SUITE 24
CHICO CA
95926
US

IV. Provider business mailing address

500 COHASSET RD STE 24
CHICO CA
95926-2260
US

V. Phone/Fax

Practice location:
  • Phone: 530-879-2456
  • Fax: 530-879-3932
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC30016
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: