Most Relevant Information
Provider Data
| NPI Number: | 1003045485 |
| Provider Name: | LIZETH CHRISTINE FONSECA |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 106092 |
Most Important Dates
| Enumeration Date: | 07/07/2009 |
| Last Updated: | 12/07/2021 |
Provider Practice Location
3280 E FOOTHILL BLVD
PASADENA
CA
911073103
Practice Location Phone/Fax
| Phone: | 6265833963 |
| Fax: |
Provider Mailing Location
3280 E FOOTHILL BLVD
PASADENA
CA
911073103
Provider Mailing Phone/Fax
| Phone: | 6265833963 |
| Fax: |