Jalili, Fary

Jalili, Fary is an individual health care provider with primary practice located at 4635 Thomas Lake Harris Dr Unit 318 , Santa Rosa CA 95403-0195. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jalili, Fary can be contacted via phone (917) 574-1933.

Contact Information

Primary practice address
4635 Thomas Lake Harris Dr Unit 318 Santa Rosa CA 95403-0195
Phone: (917) 574-1933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 118956 California

Profile Details

NPI number 1679926091
LBN Legal business name Jalili, Fary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2016
Last updated Jan 31st, 2024 - about 2 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.

Request for update

Popular Providers