person
Mr. Gary Fedoroff
Addiction (Substance Use Disorder) Counselor in San Rafael, California
NPI 1093036717

Gary Fedoroff is an Addiction (Substance Use Disorder) Counselor based in San Rafael, CA and is specialized in Addiction (Substance Use Disorder). Gary Fedoroff practices in San Rafael, CA. The NPI Number for Gary Fedoroff is 1093036717 and holds a License No. (California).

The current practice location address for Gary Fedoroff is 171 Carlos Dr, San Rafael, CA and can be reached out via phone at 415-755-2310 and via fax at 415-755-2210. You can also correspond with Gary Fedoroff through the mailing address at 171 CARLOS DR, SAN RAFAEL, CA - 94903-2005 (mailing address contact number: 415-755-2310).

Location: 171 Carlos Dr, San Rafael, CA, 94903-2005
person
Provider Profile Details
NPI Number
1093036717
Provider Name
Gary Fedoroff
Credential
Provider Entity Type
Individual
Gender
Male
Address
171 Carlos Dr, San Rafael, CA, 94903-2005
Phone Number
415-755-2310
Fax Number
415-755-2210
Provider Enumeration Date
06/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
171 Carlos Dr
City
State
Zip
94903-2005
Phone Number
415-755-2310
Fax Number
415-755-2210
person
Provider Business Mailing Address Details
Address
171 Carlos Dr
City
State
Zip
94903-2005
Phone Number
415-755-2310
Fax Number
415-755-2210
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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