Doctor Name: | MISS CHANDRA KRISTINE BOMBEN |
NPI Number: | 1144426859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFTI |
License Number: | |
Business Practice Address: | 11512 B Ave Auburn, CA - 956032605 |
Business Phone Number: | 5308897285 |
Business Fax Number: | |
Mailing Address: | 11512 B Avenue, AUBURN |
State: | CA |
Postal Code: | 95603 |
Phone Number: | 5308897285 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |