Individual provider · Type 1 NPI

Genevieve Maya Fragoso

Professional Counselor · San Dimas, CA

NPI number 1780319079 Active

Practice location

180 Via Verde Ste 200
San Dimas, CA 91773-3993

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X15247 (CA)

Professional Counselor: Definition to come...

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About NPI 1780319079

Genevieve Maya Fragoso's National Provider Identifier is 1780319079, issued on Jul 20, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Dimas, CA. The record was last updated on Feb 1, 2024.