person
Suseth Adriana Fonseca
Professional Counselor in Encino, California
NPI 1538911458

Suseth Adriana Fonseca is a Professional Counselor based in Inglewood, CA and is specialized in Professional. Suseth Adriana Fonseca practices in Encino, CA. The NPI Number for Suseth Adriana Fonseca is 1538911458 and holds a License No. 14560 (California).

The current practice location address for Suseth Adriana Fonseca is 15720 Ventura Blvd Ste 420, Encino, CA and can be reached out via phone at 818-927-0478.

Location: 15720 Ventura Blvd Ste 420, Encino, CA, 90301-4207
person
Provider Profile Details
NPI Number
1538911458
Provider Name
Suseth Adriana Fonseca
Credential
Provider Entity Type
Individual
Gender
Female
Address
15720 Ventura Blvd Ste 420, Encino, CA, 90301-4207
Phone Number
818-927-0478
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
15720 Ventura Blvd Ste 420
City
State
Zip
91436-4711
Phone Number
818-927-0478
Fax Number
person
Provider Business Mailing Address Details
Address
15720 Ventura Blvd Ste 420
City
State
Zip
91436-4711
Phone Number
818-927-0478
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
14560 (California)
Definition
Definition to come...
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