Madedeh Alfogbanah Valid NPI

Individual provider · Mental Health Counselor · Petaluma, CA

NPI

1164573135

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

Sex

Female

Sole proprietor

Yes

Enumerated

2007-01-16

Last updated

2007-07-08