Individual
CARL LEONARD FESSENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-II
Contact information
Practice address
1974 WINCHESTER PL, FAIRFIELD, CA 94533-3618
(707) 290-1166
Mailing address
1974 WINCHESTER PL, FAIRFIELD, CA 94533-3618
(707) 290-1166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/16/2019
Last updated
06/27/2023
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