Provider Demographics
NPI:1467562777
Name:AIKIN, KAREN KAY (RN MFT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:KAY
Last Name:AIKIN
Suffix:
Gender:F
Credentials:RN MFT
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:BOGARD
Other - Last Name:AIKIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN MFT
Mailing Address - Street 1:1654 PARK VISTA DR
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-4141
Mailing Address - Country:US
Mailing Address - Phone:530-343-5791
Mailing Address - Fax:530-343-7864
Practice Address - Street 1:562 MANZANITA AVENUE
Practice Address - Street 2:SUITE 6
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-4141
Practice Address - Country:US
Practice Address - Phone:530-898-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34034106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist