Individual
ANIKA LINDEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 KUCK LN, PETALUMA, CA 94952-9606
(415) 755-3383
Mailing address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(415) 755-3383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
112283
CA
106H00000X
Marriage & Family Therapist
112283
CA
106H00000X
Marriage & Family Therapist
Primary
133070
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2013
Last updated
01/18/2023
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