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Organization

THOMAS FARAGHER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS FARAGHER LPC, CSOTP (CLINICIAN)
(804) 282-5644
Entity
Organization

Contact information

Practice address
2419 FON DU LAC RD, RICHMOND, VA 23229-3323
(804) 440-7074
(804) 440-7075
Mailing address
2419 FON DU LAC RD, RICHMOND, VA 23229-3323
(804) 440-7074
(804) 440-7075

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0701003176
VA

Other

Enumeration date
10/24/2006
Last updated
08/22/2020
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