Individual
ANNA B IVERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
1156 HIGH ST, SANTA CRUZ, CA 95064-1077
(831) 502-8129
Mailing address
1156 HIGH ST, SANTA CRUZ, CA 95064-1077
(831) 502-8129
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
53604
CA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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