Individual
DESIREE EVELYN FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
928 BROADWAY, SAN DIEGO, CA 92101-5514
(619) 977-3716
Mailing address
928 BROADWAY, SAN DIEGO, CA 92101-5514
(619) 977-3716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
02/06/2020
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