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JANE SCOTT ANDERSON MFT

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1417972720

Individual Registrant:
 JANE SCOTT ANDERSON MFT
Gender: F
Sole Proprietor

Location and contact information for practice:
1100 MAIN ST SUITE E FORTUNA, CA 95540-2148 US
Tel: 707-725-1122  Fax: 707-725-1122

Contact information for business:
1100 MAIN ST SUITE E FORTUNA, CA 95540-2148 US
Tel: 707-725-1122  Fax: 707-725-1122

Registration Information:
NPI: 1417972720
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CAMFC 37414

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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