Lizeth Christine Fonseca
Marriage & Family Therapist in Pasadena, CA. Individual provider (NPI-1).
NPI number1003045485
StatusActive
Last updated in NPPESDec 7, 2021
Details
- NPI
- 1003045485
- Entity type
- Individual (NPI-1)
- Name
- Miss Lizeth Christine Fonseca
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2009
- Certification date
- Dec 7, 2021
- Last updated
- Dec 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 106092 | CA | Yes |
Practice location
3280 E Foothill BlvdPasadena, CA 91107-3103
Phone 626-583-3963
Mailing address
3280 E Foothill BlvdPasadena, CA 91107-3103
Phone 626-583-3963
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