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JENNIFER ANDERSON

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1245402031

Individual Registrant:
 JENNIFER  ANDERSON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1305 MACDONALD AVE  RICHMOND, CA 94801-3120 US
Tel: 510-412-3200  Fax: --

Contact information for business:
3024 WILLOW PASS RD  CONCORD, CA 94519-2588 US
Tel: 925-363-5000  Fax: --

Registration Information:
NPI: 1245402031
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N171M00000XOther Service Providers
Case Manager/Care Coordinator
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
CA1245402031

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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