AUDREY VANESSA FAIRCHILD

SAN CARLOS, CA
NPI1639644958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  AMFT109874)
Enumeration Date2018-10-12
Last Update Date2018-10-12
Business Address
Ms. AUDREY VANESSA FAIRCHILD AMFT APCC
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070-2317
Phone number: 650-394-5155
Mailing Address
Ms. AUDREY VANESSA FAIRCHILD AMFT APCC
981 SOUTH B STREET
SAN MATEO, CA 94401
Phone number: 650-492-0173