KIM STAFFORD FAHLEN

SAN RAFAEL, CA
NPI1720794712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: CA  41746)
Enumeration Date2023-01-24
Last Update Date2023-01-24
Business Address
KIM STAFFORD FAHLEN LMFT
875 4TH ST STE 6
SAN RAFAEL, CA 94901-3242
Phone number: 415-578-2978
Mailing Address
KIM STAFFORD FAHLEN LMFT
23 HACIENDA CT
SAN RAFAEL, CA 94901-1314
Phone number: 415-205-4034
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