Healthcare Provider Details

I. General information

NPI: 1316896103
Provider Name (Legal Business Name): MICHELLE ANDERSON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2026
Last Update Date: 01/24/2026
Certification Date: 01/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29920 JAMAICA DUNES DR
TEHACHAPI CA
93561-8552
US

IV. Provider business mailing address

29920 JAMAICA DUNES DR
TEHACHAPI CA
93561-8552
US

V. Phone/Fax

Practice location:
  • Phone: 661-821-0328
  • Fax:
Mailing address:
  • Phone: 661-821-0328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT33533
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: