Individual
DANA ANN FEHRENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 325-0238
Mailing address
148 ROGERS STREET NW, OLYMPIA, WA 98502
(360) 581-6511
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/22/2010
Last updated
10/08/2018
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