person
Madedeh Alfogbanah
Mental Health Counselor in Petaluma, California
NPI 1164573135

Madedeh Alfogbanah is a Mental Health Counselor based in Petaluma, CA and is specialized in Mental Health. Madedeh Alfogbanah practices in Petaluma, CA. The NPI Number for Madedeh Alfogbanah is 1164573135 and holds a License No. (California).

The current practice location address for Madedeh Alfogbanah is 1516 Wase Madison Street, Petaluma, CA and can be reached out via phone at 707-541-9926.

Location: 1516 Wase Madison Street, Petaluma, CA, 94954-2319
person
Provider Profile Details
NPI Number
1164573135
Provider Name
Madedeh Alfogbanah
Credential
Provider Entity Type
Individual
Gender
Female
Address
1516 Wase Madison Street, Petaluma, CA, 94954-2319
Phone Number
707-541-9926
Fax Number
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1516 Wase Madison Street
City
State
Zip
94954
Phone Number
707-541-9926
Fax Number
person
Provider Business Mailing Address Details
Address
1516 Wase Madison Street
City
State
Zip
94954
Phone Number
707-541-9926
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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