Individual
ASHLEY NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BS
Contact information
Practice address
200 24TH ST, RICHMOND, CA 94804-1804
(510) 412-9200
Mailing address
200 24TH ST, RICHMOND, CA 94804-1804
(510) 412-9200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2019
Last updated
09/27/2024
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