(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003534900
Provider Name: MARI KONOSHIMA ANDERSEN
Entity Type: Individual
Taxonomy Code: 106H00000X
Specialty: Marriage & Family Therapist
License Number: 132206
Most Important Dates
Enumeration Date: 08/16/2022
Last Updated: 08/16/2022
Provider Practice Location
3551 CAMINO MIRA COSTA STE T
SAN CLEMENTE
CA
926723508
Practice Location Phone/Fax
Phone: 9492724444
Fax:
Provider Mailing Location
1058 LA MIRADA ST
LAGUNA BEACH
CA
926513570
Provider Mailing Phone/Fax
Phone: 9492281662
Fax: