Individual
MS. ANNE PATRICIA FAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LCSW
Contact information
Practice address
1 HUNTINGTON RD, SUITE103, ATHENS, GA 30606-7204
(706) 850-7041
(706) 850-7042
Mailing address
151 NC HIGHWAY 9, SUITE B #116, BLACK MOUNTAIN, NC 28711-3456
(949) 290-8378
(828) 664-9336
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
23056
CA
104100000X
Social Worker
3857
GA
104100000X
Social Worker
Primary
C007454
NC
163W00000X
Registered Nurse
248219
NC
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
7446645
CA
Other
Enumeration date
01/04/2007
Last updated
06/04/2012
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