Provider Demographics
NPI:1487818233
Name:GEFFON, SHIKMA AHARON (MFT)
Entity Type:Individual
Prefix:MRS
First Name:SHIKMA
Middle Name:AHARON
Last Name:GEFFON
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 1:118 W ARRELLAGA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2903
Mailing Address - Country:US
Mailing Address - Phone:805-962-2963
Mailing Address - Fax:805-962-2965
Practice Address - Street 1:118 W ARRELLAGA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2903
Practice Address - Country:US
Practice Address - Phone:805-962-2963
Practice Address - Fax:805-962-2965
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 54310101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000009134OtherUPIN