Individual
SIARAH SKYE KOEHNLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3211 COHASSET RD STE 130, CHICO, CA 95973-5403
(530) 552-4627
(530) 879-3823
Mailing address
3211 COHASSET RD STE 130, CHICO, CA 95973-5403
(530) 552-4627
(530) 879-3823
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41133
CA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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