Organization
ANDREA CONNER MARRIAGE AND FAMILY THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CONNER LMFT (CEO)
(916) 407-4382
Entity
Organization
Contact information
Practice address
19 DITZHAZY CT, ROSEVILLE, CA 95678-5944
(916) 407-4382
Mailing address
116 S. GRANT STREET, STE 110-#680, ROSEVILLE, CA 95678-2668
(916) 407-4382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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