Provider Demographics
NPI:1184171845
Name:HIRSCH, ANNA DARVIN (MS, LMFT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:DARVIN
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3028 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-2541
Mailing Address - Country:US
Mailing Address - Phone:510-550-5140
Mailing Address - Fax:
Practice Address - Street 1:3028 73RD AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-2541
Practice Address - Country:US
Practice Address - Phone:510-550-5140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-09
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA126438106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist