MEDICARE: MRS. ANNE-MARIE CHAREST LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	117930	CA

General Provider Information

NPI Number	:	1023894334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE-MARIE CHAREST LMFT

Provider Business Mailing Address
First Line	:	6859 SHADOWBROOK DR
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93117-5532
Country	:	US
Telephone Number	:	805-708-6363
Fax Number	:

Provider Business Practice Location Address
First Line	:	6859 SHADOWBROOK DR
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93117-5532
Country	:	US
Telephone Number	:	805-708-6363
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2023
Last Update Date	:	05/05/2026

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