Individual
CAROLINA DE ANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1682 NOVATO BLVD STE 105, NOVATO, CA 94947-0001
(415) 473-3240
Mailing address
1682 NOVATO BLVD STE 105, NOVATO, CA 94947-0001
(415) 473-3240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12980
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/14/2015
Last updated
08/20/2025
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