Individual
ANITA BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
36 37TH AVE, SAN MATEO, CA 94403-4405
(650) 295-2160
Mailing address
36 37TH AVE, SAN MATEO, CA 94403-4405
(650) 295-2160
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF71462
CA
Other
Enumeration date
08/04/2013
Last updated
08/04/2013
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