Individual
ANNA RENEE HISCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
711 JEFFERSON ST, #203, FAIRFIELD, CA 94533-5511
(707) 425-0633
(707) 437-0495
Mailing address
711 JEFFERSON ST, #203, FAIRFIELD, CA 94533-5511
(707) 425-0633
(707) 437-0495
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
39870
CA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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