DIANA KIMBERLY AVARY FALLON

SAN PABLO, CA
NPI1710527916
Professional NameDIANA KIMBERLY AVARY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  amft116501)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  AMFT116501)
Enumeration Date2020-01-15
Last Update Date2020-03-24
Business Address
DIANA KIMBERLY AVARY FALLON MA
832 SUNNY GLEN COURT
SAN PABLO, CA 94806-6113
Phone number: 650-714-4993
Mailing Address
DIANA KIMBERLY AVARY FALLON MA
832 SUNNY GLEN COURT
SAN PABLO, CA 94806-6113
Phone number: 650-714-4993