Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ashley Malone Fagan

Individual provider Marriage & Family Therapist · NPI 1124467618

Ashley Malone Fagan is a Marriage & Family Therapist in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

1 Saint Vincents Dr
San Rafael, CA 94903-1504
Phone: (415) 507-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 84689 (CA)

Record details

NPI number1124467618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2013
Last updated in NPPESJune 1, 2015
Mailing address1 Saint Vincents Dr, San Rafael, CA 94903-1504

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