Individual
CHERISH ANN MARIE ANSANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 450-0423
Mailing address
1477 LINCOLN AVE, SAN RAFAEL, CA 94901-2028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13790
CA
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
10/10/2022
Last updated
05/03/2023
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