Individual provider · Type 1 NPI

Tanya Fairclough

Mental Health Counselor · San Rafael, CA

NPI number 1902249402 Active

Practice location

900 5th Ave, Suite 150
San Rafael, CA 94901-2959

Mailing address

70 Baylor Ln
Pleasant Hill, CA 94523-1908

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902249402

Tanya Fairclough's National Provider Identifier is 1902249402, issued on Apr 15, 2013. 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 Apr 15, 2013.