Individual provider · Type 1 NPI

Ciddy Fonteboa

Addiction (Substance Use Disorder) Counselor · El Monte, CA

NPI number 1417512484 Active

Practice location

11041 Valley Blvd
El Monte, CA 91731-2516

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1417512484

Ciddy Fonteboa's National Provider Identifier is 1417512484, issued on May 6, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in El Monte, CA. The record was last updated on May 6, 2019.