Provider Demographics
NPI:1164447330
Name:SALZ, SHARON H (MFT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:H
Last Name:SALZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 EAST AVE
Mailing Address - Street 2:SUITE 4-A
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1628
Mailing Address - Country:US
Mailing Address - Phone:530-892-1876
Mailing Address - Fax:530-894-0929
Practice Address - Street 1:1430 EAST AVE
Practice Address - Street 2:SUITE 4-A
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1628
Practice Address - Country:US
Practice Address - Phone:530-892-1876
Practice Address - Fax:530-894-0929
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT36917106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist