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

Mary Kathleen Fahy, IMFT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1114363363

Mary Kathleen Fahy, IMFT is an Addiction (Substance Use Disorder) Counselor in Roseville, California. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

1133 Coloma Way
Roseville, CA 95661-4480
Phone: (916) 774-6647
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1114363363
Entity typeIndividual (Type 1)
GenderFemale
Credentials IMFT
Sole proprietorNo
NPI enumeratedMay 15, 2013
Last updated in NPPESMay 15, 2013

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