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Shanae Yvone Anderson
Mental Health Counselor in Stockton, California
NPI 1093281941

Shanae Yvone Anderson is a Mental Health Counselor based in Stockton, CA and is specialized in Mental Health. Shanae Yvone Anderson practices in Stockton, CA. The NPI Number for Shanae Yvone Anderson is 1093281941 and holds a License No. 7588 (California).

The current practice location address for Shanae Yvone Anderson is 2495 W March Ln Ste 125, Stockton, CA and can be reached out via phone at 209-465-1080.

Location: 2495 W March Ln Ste 125, Stockton, CA, 95207-8224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093281941
Provider Name
Shanae Yvone Anderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2495 W March Ln Ste 125, Stockton, CA, 95207-8224
Phone Number
209-465-1080
Fax Number
Provider Enumeration Date
10/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2495 W March Ln Ste 125
City
Stockton
State
California
Zip
95207-8224
Phone Number
209-465-1080
Fax Number
person
Provider Business Mailing Address Details
Address
2495 W March Ln Ste 125
City
Stockton
State
California
Zip
95207-8224
Phone Number
209-465-1080
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
7588 (California)
Definition
Definition to come...
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