Healthcare Provider Details

I. General information

NPI: 1821642570
Provider Name (Legal Business Name): ANASA JAMALA STORAY-DEMBY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANASA JAMALA STORAY LPCC

II. Dates (important events)

Enumeration Date: 07/31/2019
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 MONTCLAIR ST
BAKERSFIELD CA
93309-8542
US

IV. Provider business mailing address

513 MONTCLAIR ST
BAKERSFIELD CA
93309-8542
US

V. Phone/Fax

Practice location:
  • Phone: 310-502-5147
  • Fax:
Mailing address:
  • Phone: 747-400-1443
  • Fax: 970-300-4529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number17569
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: