| NPI | 1487492062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY ANDERSEN Marriage And Family Therapist 831-278-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2026-09-15 |