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STEFANIE ELLEN ANDERSON LMFT

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

Registrant NPI Number: 1235268285

Individual Registrant:
 STEFANIE ELLEN ANDERSON LMFT
Gender: F
Sole Proprietor

Location and contact information for practice:
1100 MAIN STREET SUITE E FORTUNA, CA 95540-9778 US
Tel: 707-599-2972  Fax: --

Contact information for business:
1100 MAIN STREET SUITE E FORTUNA, CA 95540-9778 US
Tel: 707-599-2972  Fax: --

Registration Information:
NPI: 1235268285
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC39689

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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