Provider Demographics
NPI:1851622591
Name:NORFLEET, ANNE S (MA, LMFT, PPS)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:S
Last Name:NORFLEET
Suffix:
Gender:F
Credentials:MA, LMFT, PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1533 MANHATTAN AVE
Mailing Address - Street 2:
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93433-2514
Mailing Address - Country:US
Mailing Address - Phone:805-710-7814
Mailing Address - Fax:
Practice Address - Street 1:1125 W GRAND AVE STE D
Practice Address - Street 2:
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-2114
Practice Address - Country:US
Practice Address - Phone:805-710-7814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-20
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
CA90874106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No251S00000XAgenciesCommunity/Behavioral Health