Healthcare Provider Details

I. General information

NPI: 1215849807
Provider Name (Legal Business Name): ANN MARGARET THERESA PEARSON APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3766 MOUNTAIN VIEW AVE
PASADENA CA
91107-4901
US

IV. Provider business mailing address

3766 MOUNTAIN VIEW AVE
PASADENA CA
91107-4901
US

V. Phone/Fax

Practice location:
  • Phone: 626-840-8305
  • Fax:
Mailing address:
  • Phone: 626-840-8305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC22929
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: