Individual
BRIANA T FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 FRANKLIN PKWY, SAN MATEO, CA 94403-1921
(650) 522-7729
Mailing address
25800 INDUSTRIAL BLVD APT M414, HAYWARD, CA 94545-2997
(619) 756-3106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
103188
CA
1041C0700X
Clinical Social Worker
Primary
123146
CA
Other
Enumeration date
04/25/2021
Last updated
10/01/2024
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