Provider Demographics
NPI:1134008402
Name:CHRISTENSEN, MARLA FAYE (AMFT, APCC)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:FAYE
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1359 E LASSEN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-7824
Mailing Address - Country:US
Mailing Address - Phone:203-253-9054
Mailing Address - Fax:530-466-3154
Practice Address - Street 1:1359 E LASSEN AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-7824
Practice Address - Country:US
Practice Address - Phone:203-253-9054
Practice Address - Fax:530-466-3154
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15771101YM0800X
CA144786106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health