MR. Gary Fedoroff
NPI #1093036717 in San Rafael, California
Provider Information
- NPI Number
- 1093036717
- Entity Type
- Individual
- Name
- MR. Gary Fedoroff
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 16, 2010
- Last Updated
- Jun 16, 2010
Practice Location
- Address
- 171 CARLOS DR
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-2005
- Phone
- (415) 755-2310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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