MR. GARY FEDOROFF
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1093036717
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1093036717 is the National Provider Identifier for MR. GARY FEDOROFF, a Counselor - Addiction (Substance Use Disorder) provider located in San Rafael, CA. This NPI was enumerated on June 16, 2010.
MR. GARY FEDOROFF practices at 171 CARLOS DR, San Rafael, CA 94903.
Quick Facts
- NPI
- 1093036717
- Type
- Individual
- Enumerated
- Jun 16, 2010
- Last Updated
- Jun 16, 2010
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