Healthcare Provider Details

I. General information

NPI: 1487899043
Provider Name (Legal Business Name): ANNE SCOTT DIAMOND MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2008
Last Update Date: 12/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 E MISSION ST STE D
SANTA BARBARA CA
93101-8486
US

IV. Provider business mailing address

1326 ROBBINS ST
SANTA BARBARA CA
93101-4729
US

V. Phone/Fax

Practice location:
  • Phone: 805-966-1074
  • Fax:
Mailing address:
  • Phone: 805-962-3757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFC40772
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: