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Organization

ANCA SEVERIN MFT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANCA SEVERIN LMFT (MFT/OWNER)
(415) 407-5115
Entity
Organization

Contact information

Practice address
1720 S AMPHLETT BLVD STE 220G, SAN MATEO, CA 94402-2713
(415) 407-5115
(800) 807-8009
Mailing address
1600 BRYANT ST UNIT 411461, SAN FRANCISCO, CA 94141-1781
(415) 407-5115
(800) 807-8009

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
03/03/2022
Last updated
03/03/2022
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