Basic Information
| Provider Information | |||||||||
| NPI: | 1437537404 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SANDHU | ||||||||
| FirstName: | ANUREET | ||||||||
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| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 ROLAND WAY | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946212034 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5107462800 | ||||||||
| FaxNumber: | 5107462810 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 ROLAND WAY | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946212034 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5107462800 | ||||||||
| FaxNumber: | 5107462810 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2015 | ||||||||
| LastUpdateDate: | 04/29/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 106H00000X | 96777 | CA | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 390200000X | 96777 | CA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 106H00000X | 112954 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.