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MS. BARBARA NETTLES ANDERSON MA

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1992846372

Individual Registrant:
MS. BARBARA NETTLES ANDERSON MA
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

Contact information for business:
556 ANNAHY DRIVE  FORTUNA, CA 95540 US
Tel: 707-725-2857  Fax: 707-725-8088

Registration Information:
NPI: 1992846372
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC27649

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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