Provider Information for 1174005318
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RACHEL FAN LCSW
Sex: Female
NPI: 1174005318
Last Updated: 2025-01-07
Certification Date: 2025-01-07
Certification Date: 2025-01-07
Details
| Name | Value | ||||||||||||||||
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| NPI | 1174005318 | ||||||||||||||||
| Enumeration Date | 2018-09-04 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 1539 GEARY RD UNIT F WALNUT CREEK, CA 94597-2762 United States Phone: 916-612-1073 | Fax: | ||||||||||||||||
| Primary Practice Address | 1539 GEARY RD UNIT F WALNUT CREEK, CA 94597-2762 United States Phone: 916-612-1073 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | 6615 VALLEY HI DR 9837 FOLSOM BLVD STE F | ||||||||||||||||
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