Most Relevant Information
Provider Data
| NPI Number: | 1003066515 |
| Provider Name: | KRISTI FONSECA |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LMFT105677 |
Most Important Dates
| Enumeration Date: | 09/22/2008 |
| Last Updated: | 10/30/2023 |
Provider Practice Location
222 W 6TH ST STE 230
SAN PEDRO
CA
907313332
Practice Location Phone/Fax
| Phone: | 3108333135 |
| Fax: | 3107072877 |
Provider Mailing Location
1301 PINE AVE
LONG BEACH
CA
908133124
Provider Mailing Phone/Fax
| Phone: | 5625951159 |
| Fax: | 5624264661 |