Individual provider · Type 1 NPI

Fred Flanagan

Mental Health Counselor · San Rafael, CA

NPI number 1144377409 Active

Practice location

914 Mission Ave
San Rafael, CA 94901-6106

Mailing address

7517 Camino Colegio
Rohnert Park, CA 94928-3573

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1144377409

Fred Flanagan's National Provider Identifier is 1144377409, issued on Jan 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.