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Michael Taylor Fitzgerald JR.
Counselor in San Pedro, California
NPI 1417149725

Michael Taylor Fitzgerald JR. is a Counselor based in San Pedro, CA. Michael Taylor Fitzgerald JR. practices in San Pedro, CA. The NPI Number for Michael Taylor Fitzgerald JR. is 1417149725 and holds a License No. (California).

The current practice location address for Michael Taylor Fitzgerald JR. is 921 S Beacon St, San Pedro, CA and can be reached out via phone at 310-984-3055 and via fax at 310-984-3066.

Location: 921 S Beacon St, San Pedro, CA, 90731-3740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417149725
Provider Name
Michael Taylor Fitzgerald JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
921 S Beacon St, San Pedro, CA, 90731-3740
Phone Number
310-984-3055
Fax Number
310-984-3066
Provider Enumeration Date
08/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
921 S Beacon St
City
San Pedro
State
California
Zip
90731-3740
Phone Number
310-984-3055
Fax Number
310-984-3066
person
Provider Business Mailing Address Details
Address
921 S Beacon St
City
San Pedro
State
California
Zip
90731-3740
Phone Number
310-984-3055
Fax Number
310-984-3066
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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