Provider Demographics
NPI:1578739256
Name:NAUGLE, ANURADHA
Entity Type:Individual
Prefix:MS
First Name:ANURADHA
Middle Name:
Last Name:NAUGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ANURADHA
Other - Middle Name:
Other - Last Name:SARKAR - CLEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:3355 MISSION AVENUE
Mailing Address - Street 2:SUITE 231
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-1326
Mailing Address - Country:US
Mailing Address - Phone:760-746-8646
Mailing Address - Fax:760-439-3606
Practice Address - Street 1:3355 MISSION AVE
Practice Address - Street 2:SUITE 231
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92058-1326
Practice Address - Country:US
Practice Address - Phone:760-746-8646
Practice Address - Fax:760-439-3606
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC25269106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist