person
Ms. Katherine Lynn Fosdahl
Mental Health Counselor in Costa Mesa, California
NPI 1184984866

Katherine Lynn Fosdahl is a Mental Health Counselor based in Costa Mesa, CA and is specialized in Mental Health. Katherine Lynn Fosdahl practices in Costa Mesa, CA. The NPI Number for Katherine Lynn Fosdahl is 1184984866 and holds a License No. (California).

The current practice location address for Katherine Lynn Fosdahl is 420 W 19Th St, Costa Mesa, CA and can be reached out via phone at 949-646-9227.

Location: 420 W 19Th St, Costa Mesa, CA, 92627-2026
person
Provider Profile Details
NPI Number
1184984866
Provider Name
Katherine Lynn Fosdahl
Credential
Provider Entity Type
Individual
Gender
Female
Address
420 W 19Th St, Costa Mesa, CA, 92627-2026
Phone Number
949-646-9227
Fax Number
Provider Enumeration Date
05/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
420 W 19Th St
City
State
Zip
92627-2026
Phone Number
949-646-9227
Fax Number
person
Provider Business Mailing Address Details
Address
420 W 19Th St
City
State
Zip
92627-2026
Phone Number
949-646-9227
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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