Mary Kathleen Fahy, IMFT
NPI #1114363363 in Roseville, California
Provider Information
- NPI Number
- 1114363363
- Entity Type
- Individual
- Name
- Mary Kathleen Fahy, IMFT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- IMFT
- Enumeration Date
- May 15, 2013
- Last Updated
- May 15, 2013
Practice Location
- Address
- 1133 COLOMA WAY
- City
- Roseville
- State
- California
- ZIP Code
- 95661-4480
- Phone
- (916) 774-6647
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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