Provider Demographics
NPI:1124525811
Name:POPKEY, CHALLIS CLARE (LMFT)
Entity type:Individual
Prefix:
First Name:CHALLIS
Middle Name:CLARE
Last Name:POPKEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 W MISSION ST STE 4
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-0401
Mailing Address - Country:US
Mailing Address - Phone:208-810-5524
Mailing Address - Fax:
Practice Address - Street 1:30 W MISSION ST STE 4
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-0401
Practice Address - Country:US
Practice Address - Phone:208-810-5524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-09
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA129475106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist