Individual
ANGELA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
405 W PINE ST, LODI, CA 95240-2023
(209) 328-8082
Mailing address
405 W PINE ST, LODI, CA 95240-2023
(209) 328-8082
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
80018
CA
Other
Enumeration date
10/29/2014
Last updated
10/28/2023
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