Fennelly, Teresa

Fennelly, Teresa is an individual health care provider with primary practice located at 1 Saint Vincents Dr , San Rafael CA 94903-1504. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fennelly, Teresa can be contacted via phone (415) 507-2000.

Contact Information

Primary practice address
1 Saint Vincents Dr San Rafael CA 94903-1504
Phone: (415) 507-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS16689 California

Profile Details

NPI number 1265597983
LBN Legal business name Fennelly, Teresa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Oct 19th, 2011 - about 13 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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