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DONELLE ANDERSON MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1174660724

Individual Registrant:
 DONELLE  ANDERSON MFT
Gender: F
Sole Proprietor

Location and contact information for practice:
4944 WINDPLAY DR STE 114  EL DORADO HILLS, CA 95762-9310 US
Tel: 530-647-6907  Fax: 530-350-8775

Contact information for business:
3334 CESSNA DR  CAMERON PARK, CA 95682-9133 US
Tel: 530-647-6907  Fax: 530-350-8775

Registration Information:
NPI: 1174660724
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFT49287

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AGAENCY1174660724CA01




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