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Individual
PHOEBE PANTALEON-FATHALLAH
Active
Individual
PHOEBE PANTALEON-FATHALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1381670320
CA
106H00000X
Marriage & Family Therapist
0717002572
VA
106H00000X
Marriage & Family Therapist
Primary
141555
CA
106H00000X
Marriage & Family Therapist
AMFT126592
CA
106H00000X
Marriage & Family Therapist
TPMF1927
FL
Other
Enumeration date
01/28/2020
Last updated
07/09/2026
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