Individual
ANASTASIA MEDIA GORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6147 SUTTER AVE, CARMICHAEL, CA 95608
(916) 971-7640
Mailing address
6147 SUTTER AVE, CARMICHAEL, CA 95608-2738
(916) 971-7640
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
89876
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/15/2017
Last updated
12/17/2018
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