Individual provider · Type 1 NPI
Ashley Malone Fagan
Marriage & Family Therapist · San Rafael, CA
Practice location
1 Saint Vincents Dr
San Rafael, CA 94903-1504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 84689 (CA) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
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About NPI 1124467618
Ashley Malone Fagan's National Provider Identifier is 1124467618, issued on Jun 18, 2013. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Rafael, CA. The record was last updated on Jun 1, 2015.