Provider Demographics
NPI:1417225616
Name:HAYES, COLLEEN RENE (LMFT)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:RENE
Last Name:HAYES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1263
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-1263
Mailing Address - Country:US
Mailing Address - Phone:808-989-2146
Mailing Address - Fax:
Practice Address - Street 1:1530 HUMBOLDT RD STE 1A
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-9196
Practice Address - Country:US
Practice Address - Phone:808-989-2146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist