Provider Demographics
NPI:1144624305
Name:MCDONALD, ANNA HEATHER (LMFT)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:HEATHER
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2873 MISSION ST STE 9
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3907
Mailing Address - Country:US
Mailing Address - Phone:415-841-3053
Mailing Address - Fax:
Practice Address - Street 1:2873 MISSION ST STE 9
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3907
Practice Address - Country:US
Practice Address - Phone:415-841-3053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116490106H00000X
101YM0800X
CAIMF 84980106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health