Provider Demographics
NPI:1457487746
Name:SKAGGS, FELICIA FAYE (MS)
Entity Type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:FAYE
Last Name:SKAGGS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:FELICIA
Other - Middle Name:FAYE
Other - Last Name:SKAGGS-JUSTICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1000
Mailing Address - Country:US
Mailing Address - Phone:661-868-6601
Mailing Address - Fax:661-868-6666
Practice Address - Street 1:5121 STOCKDALE HWY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2656
Practice Address - Country:US
Practice Address - Phone:661-868-5103
Practice Address - Fax:661-836-8143
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health