Provider Demographics
NPI:1407050206
Name:NORDEEN, MARGARET ELIZABETH I (MFT)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:NORDEEN
Suffix:I
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:PO BOX 1853
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-1853
Mailing Address - Country:US
Mailing Address - Phone:530-891-8977
Mailing Address - Fax:
Practice Address - Street 1:319 ORIENT ST
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5441
Practice Address - Country:US
Practice Address - Phone:530-891-8977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 27401106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist