Most Relevant Information
Provider Data
| NPI Number: | 1003023961 |
| Provider Name: | ANTONIA K FOKKEN LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | MFC 37674 |
Most Important Dates
| Enumeration Date: | 05/17/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
568 W GRAND AVE
OAKLAND
CA
946121618
Practice Location Phone/Fax
| Phone: | 5102687332 |
| Fax: | 5104514703 |
Provider Mailing Location
568 W GRAND AVE
OAKLAND
CA
946121618
Provider Mailing Phone/Fax
| Phone: | 5102687332 |
| Fax: | 5104514703 |