Healthcare Provider Details

I. General information

NPI: 1568399525
Provider Name (Legal Business Name): JOANNA FINCHUM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 PARK MARINA CIR
REDDING CA
96001-0965
US

IV. Provider business mailing address

885 MONTCREST DR
REDDING CA
96003-5059
US

V. Phone/Fax

Practice location:
  • Phone: 530-200-2777
  • Fax:
Mailing address:
  • Phone: 530-200-2777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC21983
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: