Allie M Andrus McCann, MFT, ATR-BC
Individual provider Active NPI Marriage & Family Therapist · Sebastopol, CA
NPI 1033244231 · NPPES record last updated Sep 12, 2023
Key facts
- NPI
- 1033244231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT44433 (CA)
- Practice address
- 435 Petaluma Ave
#140
Sebastopol, CA 95472 - Phone
- (707) 219-8484
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC44433 | CA | MD | Marriage & Family Therapist |
| MFT44433 | CA | MD | Marriage & Family Therapist |
| 100.0134023 | VT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | MFC44433 | CA | |
| Marriage & Family Therapist | 106H00000X | 100.0134023 | VT | |
| Marriage & Family Therapist | 106H00000X | MFT44433 | CA | Yes |
Addresses
Primary practice location
435 Petaluma Ave
#140
Sebastopol, CA 95472
Mailing address
174 Coburn Rd
Plainfield, VT 05667-4407
Phone (650) 283-0375
Other practice location 1
174 Coburn Rd
Plainfield, VT 05667-4407
Phone (650) 283-0375
Other providers in Sebastopol, CA
- Kara Andersen
- Kathleen Andersen
- Kathryn Anderson
- Andrea E Kirk PHD
- Charles Philip Andrews
- Holly Anton
- Muoi M Arnold
- Jessica Jazmin Arzate Pelayo
- Constance J. Ayers
- Maria Bachteal
All providers in Sebastopol, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.