Provider Demographics
NPI:1932402161
Name:ZIKAN, RODNEY WAYNE (MFT)
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:WAYNE
Last Name:ZIKAN
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9560 CROSSROADS DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-6813
Mailing Address - Country:US
Mailing Address - Phone:530-524-6684
Mailing Address - Fax:
Practice Address - Street 1:9554 CROSSROADS DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-6813
Practice Address - Country:US
Practice Address - Phone:530-524-6684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-09
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33898106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist