Provider Demographics
NPI:1083819809
Name:HIME-EVERSCHOR, JUDITH ANITA (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANITA
Last Name:HIME-EVERSCHOR
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2053 FOREST AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7623
Mailing Address - Country:US
Mailing Address - Phone:530-872-1293
Mailing Address - Fax:
Practice Address - Street 1:2053 FOREST AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7623
Practice Address - Country:US
Practice Address - Phone:530-872-1293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 36113106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist