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
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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