Individual provider · Type 1 NPI

Heather Fankhauser, RADT I

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1346625290 Active

Practice location

3340 Kemper St, Suite 105
San Diego, CA 92110-4906

Fax (619) 523-8742

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XD2205948 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1346625290

Heather Fankhauser, RADT I's National Provider Identifier is 1346625290, issued on Jul 21, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Jul 21, 2015.