Individual
EMILIA OLAVARRIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 FORREST AVE, FAIRFAX, CA 94930-1801
(415) 299-1563
Mailing address
91 FORREST AVE, FAIRFAX, CA 94930-1801
(415) 299-1563
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
05/04/2026
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