Individual
ANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1664 BROADWAY, EL CAJON, CA 92021-5201
(619) 579-8685
Mailing address
1664 BROADWAY, EL CAJON, CA 92021-5201
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC12690
CA
101YP2500X
Professional Counselor
APCC12690
—
106H00000X
Marriage & Family Therapist
AMFT136130
CA
106H00000X
Marriage & Family Therapist
AMFT136130
—
Other
Enumeration date
04/24/2021
Last updated
12/05/2022
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