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MS. BARBARA NETTLES ANDERSON MA
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1992846372
Individual Registrant:MS. BARBARA NETTLES ANDERSON MA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
940 MAIN STREET FORTUNA, CA 95540 US
Tel: 707-725-6864 Fax: 707-725-8088
Tel: 707-725-6864 Fax: 707-725-8088
Contact information for business:
556 ANNAHY DRIVE FORTUNA, CA 95540 US
Tel: 707-725-2857 Fax: 707-725-8088
Tel: 707-725-2857 Fax: 707-725-8088
Registration Information:
NPI: 1992846372
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | MFC27649 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
