Provider Demographics
NPI:1023140324
Name:DEPASCHALIS, ANITA FRANCES (MFT)
Entity type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:FRANCES
Last Name:DEPASCHALIS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 HIDDEN HILLS LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-8209
Mailing Address - Country:US
Mailing Address - Phone:916-408-2510
Mailing Address - Fax:916-408-0990
Practice Address - Street 1:2125 HIDDEN HILLS LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-8209
Practice Address - Country:US
Practice Address - Phone:916-408-2510
Practice Address - Fax:916-408-0990
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC28993101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health