Healthcare Provider Details
I. General information
NPI: 1881877801
Provider Name (Legal Business Name): XAY CHUE ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/12/2007
Last Update Date: 07/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1965 LIVE OAK BLVD
YUBA CITY CA
95991-8850
US
IV. Provider business mailing address
809 PLUMAS ST
YUBA CITY CA
95991-4437
US
V. Phone/Fax
- Phone: 530-822-7200
- Fax:
- Phone: 530-822-7478
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 35139 |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: