Ann Rachel Anderson, MFT
Individual provider Active NPI Marriage & Family Therapist · Eureka, CA
NPI 1720116585 · NPPES record last updated May 30, 2016
Key facts
- NPI
- 1720116585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 41866 (CA)
- Practice address
- 2625 Wilson St
Eureka, CA 95503-4829 - Phone
- (707) 298-0575
- NPI assigned
- Mar 1, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 41866 | CA | Yes |
Addresses
Primary practice location
2625 Wilson St
Eureka, CA 95503-4829
Mailing address
4285 Excelsior Rd
Eureka, CA 95503-7910
Phone (707) 445-8625
Other providers in Eureka, CA
- Anthony Alexander Anagnostou
- Cherrie A Andersen
- Jessica Andersen
- Amy Anderson
- Anastasia Lorraine Anderson
- Breanna Marie Anderson
- Debra Kay Anderson
- Elizabeth Anderson
- Frank Anderson
- Grant Anderson
All providers in Eureka, 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 May 30, 2016. 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.