Individual
MR. HUEY LION FAIRWEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2035 EAST BALL ROAD, ANAHEIM, CA 92806-4434
(714) 480-6476
Mailing address
1300 S GRAND AVE STE B, SANTA ANA, CA 92705-4434
(714) 480-6476
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128646
CA
Other
Enumeration date
08/29/2018
Last updated
07/22/2025
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