Individual
DR. ANESSA YVONNA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3230 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-7846
Mailing address
3230 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-7846
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20571
CA
Other
Enumeration date
09/21/2006
Last updated
02/11/2022
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