Individual
MRS. ANDREA TERESA WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
101 JEFFERSON DR, MENLO PARK, CA 94025-1114
(650) 800-3797
Mailing address
101 JEFFERSON DR, MENLO PARK, CA 94025-1114
(650) 800-3797
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
123153
CA
106H00000X
Marriage & Family Therapist
Primary
134826
CA
Other
Enumeration date
09/14/2021
Last updated
09/23/2022
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