Individual
ANN MICHELLE YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
(415) 507-2000
Mailing address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
(415) 507-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
07/02/2025
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