Provider Demographics
NPI:1952574477
Name:FALAKFARSA, KAREN (MFT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:FALAKFARSA
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1454 PINNACLES ST
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-6658
Mailing Address - Country:US
Mailing Address - Phone:530-848-1265
Mailing Address - Fax:
Practice Address - Street 1:228 B ST
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4505
Practice Address - Country:US
Practice Address - Phone:530-848-1265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39294106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist