Individual
MS. ANN M FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 TENNESSEE ST, VALLEJO, CA 94590-4547
(707) 647-1520
(707) 647-1513
Mailing address
1017 TENNESSEE ST, VALLEJO, CA 94590-4547
(707) 647-1520
(707) 647-1513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-F0804241145
CA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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