ASHLEY FAGAN
Marriage & Family Therapist
Active
Individual
NPI: 1124467618
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes | 84689 (CA) |
Frequently Asked Questions
NPI 1124467618 is the National Provider Identifier for ASHLEY FAGAN, a Marriage & Family Therapist provider located in San Rafael, CA. This NPI was enumerated on June 18, 2013.
ASHLEY FAGAN practices at 1 SAINT VINCENTS DR, San Rafael, CA 94903.
Quick Facts
- NPI
- 1124467618
- Type
- Individual
- Enumerated
- Jun 18, 2013
- Last Updated
- Jun 1, 2015
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