Doctor Name: | MS. ANNELI KIM RICHARDS |
NPI Number: | 1003984949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | MFTI42350 |
Business Practice Address: | 171 Carlos Dr Bay Area Community Resources San Rafael, CA - 949032005 |
Business Phone Number: | 4154445580 |
Business Fax Number: | 4154445598 |
Mailing Address: | 36 Santa Barbara Ave, SAN ANSELMO |
State: | CA |
Postal Code: | 949601628 |
Phone Number: | 4152721302 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFTI42350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |