Individual
ANASTASIA BELOSHAPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
99 S HUMBOLDT ST, WILLITS, CA 95490-3509
(707) 459-9900
Mailing address
99 S HUMBOLDT ST, WILLITS, CA 95490-3509
(707) 459-9900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
78727
CA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
78727
CA
1041C0700X
Clinical Social Worker
Primary
96642
CA
Other
Enumeration date
09/06/2017
Last updated
11/13/2020
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