Individual
MISS ANNTHEIA YVONNE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2523 EL PORTAL DR, SAN PABLO, CA 94806-3305
(510) 215-3773
Mailing address
2523 EL PORTAL DR, SAN PABLO, CA 94806-3305
(510) 215-3773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LS00030917
CA
101YM0800X
Mental Health Counselor
—
CA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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