Individual
DOUGLAS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
181 ANDRIEUX ST, SUITE 210, SONOMA, CA 95476-6932
(707) 363-2143
Mailing address
181 ANDRIEUX ST, SUITE 210, SONOMA, CA 95476-6932
(707) 363-2143
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PSY 15151
CA
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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