Provider Demographics
NPI:1598291148
Name:NITCHMAN, JOANNE
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:NITCHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 EAST AVE
Mailing Address - Street 2:SUITE #124 PMB 173
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-7349
Mailing Address - Country:US
Mailing Address - Phone:530-680-0824
Mailing Address - Fax:530-636-4888
Practice Address - Street 1:1074 EAST AVE
Practice Address - Street 2:SUITE A4
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1005
Practice Address - Country:US
Practice Address - Phone:530-521-8621
Practice Address - Fax:530-636-4888
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111720106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist