Individual
ANANYA HIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFT INTERN
Contact information
Practice address
1480 LINCOLN AVE, #8, SAN RAFAEL, CA 94901-2084
(415) 456-7724
Mailing address
PO BOX 2749, SAN ANSELMO, CA 94979-2749
(415) 342-4895
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF 66935
CA
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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