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Mrs. Melany Rochelle Fairley, MFT
Rehabilitation Practitioner in Pasadena, California
NPI 1972770840

Melany Rochelle Fairley is a Rehabilitation Practitioner based in Pasadena, CA. Melany Rochelle Fairley practices in Pasadena, CA and has the professional credentials of MFT. The NPI Number for Melany Rochelle Fairley is 1972770840 and holds a License No. IMF#95399 (California).

The current practice location address for Melany Rochelle Fairley is 867 N Fair Oaks Ave, Pasadena, CA and can be reached out via phone at 626-798-6793.

Location: 867 N Fair Oaks Ave, Pasadena, CA, 91103-3050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972770840
Provider Name
Melany Rochelle Fairley
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
867 N Fair Oaks Ave, Pasadena, CA, 91103-3050
Phone Number
626-798-6793
Fax Number
Provider Enumeration Date
05/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7708 01 CA MEDI-CAL
7368 01 CA MEDI-CAL
7667 01 CA MEDI-CAL
7184 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
867 N Fair Oaks Ave
City
Pasadena
State
California
Zip
91103-3050
Phone Number
626-798-6793
Fax Number
person
Provider Business Mailing Address Details
Address
867 N Fair Oaks Ave
City
Pasadena
State
California
Zip
91103-3050
Phone Number
626-798-6793
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
IMF#95399 (California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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