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MR. HAROLD M ANDERSON MFT
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1154592954
Individual Registrant:MR. HAROLD M ANDERSON MFT
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
12818 HEACOCK ST C-6 MORENO VALLEY, CA 92553-3173 US
Tel: 951-247-6542 Fax: --
Tel: 951-247-6542 Fax: --
Contact information for business:
12818 HEACOCK ST C-6 MORENO VALLEY, CA 92553-3173 US
Tel: 951-247-6542 Fax: --
Tel: 951-247-6542 Fax: --
Registration Information:
NPI: 1154592954
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | ||
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | MFC45039 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
