Individual
SARA JEANNE FAWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPPC
Contact information
Practice address
963 SAN SIMEON DR, CONCORD, CA 94518-2158
(925) 286-1304
Mailing address
963 SAN SIMEON DR, CONCORD, CA 94518-2158
(925) 286-1304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC4603
CA
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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