Individual
ANNA MARIE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MFT
Contact information
Practice address
1249 OAK VIEW LN, SUITE 100, LA VERNE, CA 91750-1527
(909) 596-0043
(909) 593-9491
Mailing address
1249 OAK VIEW LN, SUITE 100, LA VERNE, CA 91750-1527
(909) 596-0043
(909) 593-9491
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC32825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT328250
ANTHEM BLUE CROSS
CA
Enumeration date
02/06/2009
Last updated
02/06/2009
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