Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | IMF 49534 | CA |
N | 101YM0800X | Mental Health Counselor | IMF49534 | CA |
NPI | 1003084542 |
---|---|
Provider Name | Mrs. Anshu Mathur |
First Address | Concord, CA 94520-4902 |
Second Address | Concord, CA 94520-4902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2008 |
Last Update Date | 11/01/2022 |