| Anchored California | |
|
419 Georgia St Ste 11 Vallejo CA 94590-6046 | |
| (707) 652-5442 | |
| (707) 651-9426 |
| Full Name | Anchored California |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 419 Georgia St Ste 11, Vallejo, California |
| Authorized Official Name and Position | Amanda Summers (OWNER) |
| Authorized Official Contact | 7076888859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored California 419 Georgia St Ste 11 Vallejo CA 94590-6046 Ph: (707) 652-5442 | Anchored California 419 Georgia St Ste 11 Vallejo CA 94590-6046 Ph: (707) 652-5442 |
| NPI Number | 1881318012 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881318012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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