Provider Demographics
NPI:1669844155
Name:STRONG, NANCY JEAN
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JEAN
Last Name:STRONG
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 1:30 LANDING CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-7895
Mailing Address - Country:US
Mailing Address - Phone:530-891-0965
Mailing Address - Fax:
Practice Address - Street 1:30 LANDING CIR STE 200
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-7895
Practice Address - Country:US
Practice Address - Phone:530-891-0965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-23
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist