Individual provider · Type 1 NPI

Jeremy Fain

Mental Health Counselor · Los Angeles, CA

NPI number 1679096556 Active

Practice location

470 E 3rd St Ste C
Los Angeles, CA 90013-1630

Call (213) 620-5712 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XASW74767 (CA)
Mental Health Counselor Primary 101YM0800X74767 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1679096556

Jeremy Fain's National Provider Identifier is 1679096556, issued on Jul 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 29, 2017.