Provider Demographics
NPI:1205981255
Name:HARMON, ANNE PATTERSON (MFT)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:PATTERSON
Last Name:HARMON
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 1:2930 CAMINO DIABLO
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3986
Mailing Address - Country:US
Mailing Address - Phone:925-639-9887
Mailing Address - Fax:707-980-6896
Practice Address - Street 1:2930 CAMINO DIABLO
Practice Address - Street 2:STE. 310-C
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596
Practice Address - Country:US
Practice Address - Phone:925-639-9887
Practice Address - Fax:707-980-6896
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33426106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist