VIRGINIA FAGAN

UKIAH, CA
NPI1942417993
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC33774)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
VIRGINIA FAGAN
860 N BUSH ST
UKIAH, CA 95482-3919
Phone number: 707-463-6525
Mailing Address
VIRGINIA FAGAN
860 N BUSH ST
UKIAH, CA 95482-3919
Phone number: