Provider Demographics
NPI:1598076796
Name:CONA, ANNE (ASW)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:CONA
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:MRS
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:CONA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:140 LOMAS SANTA FE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1281
Mailing Address - Country:US
Mailing Address - Phone:760-688-8848
Mailing Address - Fax:
Practice Address - Street 1:140 LOMAS SANTA FE DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075
Practice Address - Country:US
Practice Address - Phone:760-688-8848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA66512101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
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