Individual provider · Type 1 NPI

Laura E. Fannon, PSYD INTERN

Mental Health Counselor · San Francisco, CA

NPI number 1720104615 Active

Practice location

760 Harrison St
San Francisco, CA 94107-1235

Call (415) 836-1700 Map

Fax (415) 836-1737

Mailing address

1179 N Mcdowell Blvd
Petaluma, CA 94954-6559

Other practice locations

  • 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 · (707) 559-7500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720104615

Laura E. Fannon, PSYD INTERN's National Provider Identifier is 1720104615, issued on Mar 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Francisco, CA. The record was last updated on Nov 15, 2019.