Provider Demographics
NPI:1548772726
Name:ANNA C OSBORN LICENSED MARRIAGE AND FAMILY THERAPIST PC
Entity Type:Organization
Organization Name:ANNA C OSBORN LICENSED MARRIAGE AND FAMILY THERAPIST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:OSBORN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:916-955-3200
Mailing Address - Street 1:PO BOX 160054
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-0054
Mailing Address - Country:US
Mailing Address - Phone:916-955-3200
Mailing Address - Fax:
Practice Address - Street 1:2617 K ST STE 200
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5185
Practice Address - Country:US
Practice Address - Phone:916-955-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-28
Last Update Date:2017-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty