Fader, Nancy

Fader, Nancy is an sole proprietor health care provider with primary practice located at 106 Thorn St , San Diego CA 92103-5629. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Fader, Nancy can be contacted via phone (619) 431-0046.

Contact Information

Primary practice address
106 Thorn St San Diego CA 92103-5629
Phone: (619) 431-0046
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 95040 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 95040 California

Profile Details

NPI number 1609231711
LBN Legal business name Fader, Nancy
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2015
Last updated Mar 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609231711 NPPES
California Other 95040 CA BBS

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