Provider Demographics
NPI:1518099035
Name:SHAHIN, LINDA K (MFT)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:K
Last Name:SHAHIN
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:PO BOX 1749
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:CA
Mailing Address - Zip Code:95713-1749
Mailing Address - Country:US
Mailing Address - Phone:530-320-4169
Mailing Address - Fax:530-346-7749
Practice Address - Street 1:1230 HIGH ST
Practice Address - Street 2:SUITE 120A
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-5043
Practice Address - Country:US
Practice Address - Phone:530-320-4169
Practice Address - Fax:530-346-7749
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35735106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist