Provider Demographics
NPI:1790977619
Name:MCDONALD, ANNA CHRISTINE
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:CHRISTINE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:1911 WILLIAMS DR # 160
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2612
Mailing Address - Country:US
Mailing Address - Phone:805-216-2041
Mailing Address - Fax:
Practice Address - Street 1:1997 E MAIN ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-3406
Practice Address - Country:US
Practice Address - Phone:805-216-2041
Practice Address - Fax:805-648-7540
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 32153106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2345OtherMEDI-CAL