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JENNIFER ANDERSON
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1245402031
Individual Registrant: JENNIFER ANDERSON
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1305 MACDONALD AVE RICHMOND, CA 94801-3120 US
Tel: 510-412-3200 Fax: --
Tel: 510-412-3200 Fax: --
Contact information for business:
3024 WILLOW PASS RD CONCORD, CA 94519-2588 US
Tel: 925-363-5000 Fax: --
Tel: 925-363-5000 Fax: --
Registration Information:
NPI: 1245402031
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 171M00000X | Other Service Providers Case Manager/Care Coordinator | ||
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor | CA | 1245402031 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
