1730332784

Everything you always wanted to know about MR. HADEN C WILLIAM MFC35275 but were afraid to ask.

MR. HADEN C WILLIAM MFC35275

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
MR. HADEN C WILLIAM MFC35275
Gender:
Male
Enumeration date:
2008-11-03
Last update date:
2012-08-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
101YM0800X Mental Health CA MFC 35275 N
106H00000X Marriage & Family Therapist none none Y

Phone Numbers

Type Number
Mailing Address Telephone Number 7072908557
Practice Location Address Telephone Number 7072908557
Mailing Address Fax Number 7074291809
Practice Location Address Fax Number 7074291809

Addresses

Type Address City State Postal Country
Mailing Address 621 GREAT JONES ST FAIRFIELD CA 94533 CA
Practice Location Address 621 GREAT JONES ST FAIRFIELD CA 94533 CA