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Individual
ANNE SAN JUAN
Active
Individual
ANNE SAN JUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
237228780
CA
106H00000X
Marriage & Family Therapist
46764
CA
106H00000X
Marriage & Family Therapist
Primary
MFC 46764
CA
225400000X
Rehabilitation Practitioner
IMF 41797
CA
Other
Enumeration date
03/28/2007
Last updated
05/19/2025
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