person
Mrs. Lauraine Mildred Fogarty, RADT-1
Addiction (Substance Use Disorder) Counselor in Tracy, California
NPI 1134697980

Lauraine Mildred Fogarty is an Addiction (Substance Use Disorder) Counselor based in Tracy, CA and is specialized in Addiction (Substance Use Disorder). Lauraine Mildred Fogarty practices in Tracy, CA and has the professional credentials of RADT-1. The NPI Number for Lauraine Mildred Fogarty is 1134697980 and holds a License No. R1255740617 (California).

The current practice location address for Lauraine Mildred Fogarty is 580 Gianelli St, Tracy, CA and can be reached out via phone at 510-329-6153 and via fax at 209-834-8674.

Location: 580 Gianelli St, Tracy, CA, 95376-4658
person
Provider Profile Details
NPI Number
1134697980
Provider Name
Lauraine Mildred Fogarty
Credential
RADT-1
Provider Entity Type
Individual
Gender
Female
Address
580 Gianelli St, Tracy, CA, 95376-4658
Phone Number
510-329-6153
Fax Number
209-834-8674
Provider Enumeration Date
11/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
580 Gianelli St
City
State
Zip
95376-4658
Phone Number
510-329-6153
Fax Number
209-834-8674
person
Provider Business Mailing Address Details
Address
580 Gianelli St
City
State
Zip
95376-4658
Phone Number
510-329-6153
Fax Number
209-834-8674
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1255740617 (California)
Definition
Definition to come...
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