Individual
ANCA SEVERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(415) 407-5115
Mailing address
PO BOX 411461, SAN FRANCISCO, CA 94141-1461
(415) 407-5115
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
81809
CA
Other
Enumeration date
06/18/2009
Last updated
02/05/2015
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