Provider Demographics
NPI:1841488061
Name:EAKEN, PAMELA JEAN (MA)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:JEAN
Last Name:EAKEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:JEAN
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:55 INDEPENDENCE CIR STE 104
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-4909
Mailing Address - Country:US
Mailing Address - Phone:650-504-1982
Mailing Address - Fax:
Practice Address - Street 1:55 INDEPENDENCE CIR STE 104
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-4909
Practice Address - Country:US
Practice Address - Phone:650-504-1982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist