Provider Demographics
NPI:1770395006
Name:MCKAMIE, VIKIEA (AMFT)
Entity type:Individual
Prefix:
First Name:VIKIEA
Middle Name:
Last Name:MCKAMIE
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 S RANDOLPH AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-5798
Mailing Address - Country:US
Mailing Address - Phone:714-584-8323
Mailing Address - Fax:
Practice Address - Street 1:265 S RANDOLPH AVE STE 120
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5798
Practice Address - Country:US
Practice Address - Phone:714-584-8323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA145298106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist