Provider Demographics
NPI:1144527623
Name:SKEHEN, CHRISTINE ANN
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:ANN
Last Name:SKEHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CHRISSIE
Other - Middle Name:ANN
Other - Last Name:SKEHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:28947 THOUSAND OAKS BLVD
Mailing Address - Street 2:239
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2137
Mailing Address - Country:US
Mailing Address - Phone:209-608-2611
Mailing Address - Fax:
Practice Address - Street 1:28947 THOUSAND OAKS BLVD
Practice Address - Street 2:239
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2137
Practice Address - Country:US
Practice Address - Phone:209-608-2611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist