Individual provider · Type 1 NPI

Fumiko Irene Fukumoto Gonzales, RADT

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1780225532 Active

Practice location

5318 Crenshaw Blvd
Los Angeles, CA 90043-1810

Call (323) 293-6291 Map

Mailing address

1300 Saratoga Ave Unit 609
Ventura, CA 93003-6406

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 1780225532

Fumiko Irene Fukumoto Gonzales, RADT's National Provider Identifier is 1780225532, issued on Oct 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 2, 2019.