Individual
MARC ANAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 N PILGRIM ST, STOCKTON, CA 95205-4428
(209) 466-0853
Mailing address
2323 E ROOSEVELT ST, STOCKTON, CA 95205-3823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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