Jane Scott Anderson, MFT
Individual provider Active NPI Mental Health Counselor · Fortuna, CA
NPI 1417972720 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1417972720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MFC 37414 (CA)
- Practice address
- 1100 Main St
Suite E
Fortuna, CA 95540-2148 - Phone
- (707) 725-1122
- Fax
- (707) 725-1122
- NPI assigned
- Jul 13, 2006
- 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 |
|---|---|---|---|
| MFC 37414 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC 37414 | CA | Yes |
Addresses
Primary practice location
1100 Main St
Suite E
Fortuna, CA 95540-2148
Mailing address
1100 Main St
Suite E
Fortuna, CA 95540-2148
Phone (707) 725-1122
Other providers in Fortuna, CA
- Deji Akinlosotu
- Alan E. French
- Lauretta Allen
- Barbara Nettles Anderson
- James McCall Anderson
- Stefanie Ellen Anderson
- John Richard Aragon
- April Ash
- Gary Hungerford Baker
- Christy Rae Bascochea
All providers in Fortuna, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.