Provider Demographics
NPI:1689686826
Name:SYMONS, HAVILAND ANNE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:HAVILAND
Middle Name:ANNE
Last Name:SYMONS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:HALLIE
Other - Middle Name:
Other - Last Name:TRAMMELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8912 VOLUNTEER LN
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-3221
Mailing Address - Country:US
Mailing Address - Phone:916-926-3761
Mailing Address - Fax:916-641-9599
Practice Address - Street 1:8912 VOLUNTEER LN
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-3221
Practice Address - Country:US
Practice Address - Phone:916-926-3761
Practice Address - Fax:916-641-9599
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44423106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist