MEDICARE: BRIDGETTE ANDERSON MARRIAGE AND FAMILY THERAPY, INC.

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

General Provider Information

NPI Number	:	1265389167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGETTE ANDERSON MARRIAGE AND FAMILY THERAPY, INC.

Provider Business Mailing Address
First Line	:	340 45TH ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94609-2226
Country	:	US
Telephone Number	:	415-952-6779
Fax Number	:

Provider Business Practice Location Address
First Line	:	921 THE ALAMEDA STE 105
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94707-2311
Country	:	US
Telephone Number	:	415-952-6779
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. BRIDGETTE ANDERSON
Credential	:	LMFT
Telephone Number	:	415-952-6779

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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