Provider Demographics
NPI:1275059891
Name:MENEFEE, AUBURN ELIZABETH
Entity Type:Individual
Prefix:
First Name:AUBURN
Middle Name:ELIZABETH
Last Name:MENEFEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AUBURN
Other - Middle Name:ELIZABETH
Other - Last Name:KENNEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2220 SAINT GEORGE LN
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1307
Mailing Address - Country:US
Mailing Address - Phone:530-570-8763
Mailing Address - Fax:
Practice Address - Street 1:2220 SAINT GEORGE LN
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1307
Practice Address - Country:US
Practice Address - Phone:530-433-9171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100717106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist