Provider Demographics
NPI:1861772758
Name:MORGAN, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 CAMINITO DE LA CRUZ
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-3927
Mailing Address - Country:US
Mailing Address - Phone:619-549-3467
Mailing Address - Fax:
Practice Address - Street 1:2029 CAMINITO DE LA CRUZ
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-3927
Practice Address - Country:US
Practice Address - Phone:619-549-3467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker