Individual
SHANAE YVONE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 465-1080
Mailing address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 320-7622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7588
CA
101YP2500X
Professional Counselor
Primary
7588
CA
Other
Enumeration date
10/18/2018
Last updated
08/09/2025
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