KIMBERLY LYNNE FAIRES

SAN FRANCISCO, CA
NPI1083998132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-10-07
Last Update Date2011-10-07
Business Address
-- KIMBERLY LYNNE FAIRES
440 POTRERO AVE
SAN FRANCISCO, CA 94110-1430
Phone number: 415-487-6700
Mailing Address
-- KIMBERLY LYNNE FAIRES
440 POTRERO AVE
SAN FRANCISCO, CA 94110-1430
Phone number: 415-487-6700