person
Kim Stafford Fahlen, LMFT
Mental Health Counselor in San Rafael, California
NPI 1720794712

Kim Stafford Fahlen is a Mental Health Counselor based in San Rafael, CA and is specialized in Mental Health. Kim Stafford Fahlen practices in San Rafael, CA and has the professional credentials of LMFT. The NPI Number for Kim Stafford Fahlen is 1720794712 and holds a License No. 41746 (California).

The current practice location address for Kim Stafford Fahlen is 875 4Th St Ste 6, San Rafael, CA and can be reached out via phone at 415-578-2978.

Location: 875 4Th St Ste 6, San Rafael, CA, 94901-1314
person
Provider Profile Details
NPI Number
1720794712
Provider Name
Kim Stafford Fahlen
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
875 4Th St Ste 6, San Rafael, CA, 94901-1314
Phone Number
415-578-2978
Fax Number
Provider Enumeration Date
01/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
875 4Th St Ste 6
City
State
Zip
94901-3242
Phone Number
415-578-2978
Fax Number
person
Provider Business Mailing Address Details
Address
875 4Th St Ste 6
City
State
Zip
94901-3242
Phone Number
415-578-2978
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
41746 (California)
Definition
Definition to come...
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