Healthcare Provider Details

I. General information

NPI: 1073921383
Provider Name (Legal Business Name): ANNA MASSA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA MORRIS

II. Dates (important events)

Enumeration Date: 07/30/2014
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9629 HOLLY ST
OAKLAND CA
94603-2658
US

IV. Provider business mailing address

9629 HOLLY ST
OAKLAND CA
94603-2658
US

V. Phone/Fax

Practice location:
  • Phone: 707-515-7186
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number82101
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number82101
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number105797
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number82101
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: