Provider Demographics
NPI:1265639579
Name:GIEL, ANNE LOUISE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:LOUISE
Last Name:GIEL
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MRS
Other - First Name:ANNE
Other - Middle Name:LOUISE
Other - Last Name:MAZZONI GIEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12201 S STONERIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-4750
Mailing Address - Country:US
Mailing Address - Phone:530-893-1795
Mailing Address - Fax:530-893-0705
Practice Address - Street 1:341 BROADWAY ST STE 323
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5345
Practice Address - Country:US
Practice Address - Phone:530-893-1795
Practice Address - Fax:530-893-0705
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2018-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 8321106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist