Barbara Nettles Anderson, MA

Individual provider Active NPI Marriage & Family Therapist · Fortuna, CA

NPI 1992846372 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992846372
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC27649 (CA)
Practice address
940 Main Street
Fortuna, CA 95540
Phone
(707) 725-6864
Fax
(707) 725-8088
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC27649CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Indian Health Services, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC27649 CA Yes

Addresses

Primary practice location

940 Main Street
Fortuna, CA 95540

Mailing address

556 Annahy Drive
Fortuna, CA 95540
Phone (707) 725-2857

Other providers in Fortuna, CA

All providers in Fortuna, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.