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Organization
EXPANSIVE THERAPY A PROFESSIONAL CLINICAL COUNSELOR CORPORATION
Active
Organization
EXPANSIVE THERAPY A PROFESSIONAL CLINICAL COUNSELOR CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS FAGER LPCC (OWNER/CEO)
(415) 813-7407
Entity
Organization
Contact information
Practice address
582 MARKET ST STE 2002, SAN FRANCISCO, CA 94104-5321
(415) 813-7407
Mailing address
4076 17TH ST APT E, SAN FRANCISCO, CA 94114-1993
(415) 813-7407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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