person
Fumiko Irene Fukumoto Gonzales, RADT
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1780225532

Fumiko Irene Fukumoto Gonzales is an Addiction (Substance Use Disorder) Counselor based in Ventura, CA and is specialized in Addiction (Substance Use Disorder). Fumiko Irene Fukumoto Gonzales practices in Los Angeles, CA and has the professional credentials of RADT. The NPI Number for Fumiko Irene Fukumoto Gonzales is 1780225532 and holds a License No. (California).

The current practice location address for Fumiko Irene Fukumoto Gonzales is 5318 Crenshaw Blvd, Los Angeles, CA and can be reached out via phone at 323-293-6291.

Location: 5318 Crenshaw Blvd, Los Angeles, CA, 93003-6406
person
Provider Profile Details
NPI Number
1780225532
Provider Name
Fumiko Irene Fukumoto Gonzales
Credential
RADT
Provider Entity Type
Individual
Gender
Female
Address
5318 Crenshaw Blvd, Los Angeles, CA, 93003-6406
Phone Number
323-293-6291
Fax Number
Provider Enumeration Date
10/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5318 Crenshaw Blvd
City
State
Zip
90043-1810
Phone Number
323-293-6291
Fax Number
person
Provider Business Mailing Address Details
Address
5318 Crenshaw Blvd
City
State
Zip
90043-1810
Phone Number
323-293-6291
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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