# ROBERT FRAGOSO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083050207
- **Gender:** Man
- **Credential:** LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 121957 | CA | — |
| 106H00000X | Marriage & Family Therapist | 99212 | CA | — |
| 106H00000X | Marriage & Family Therapist | AMFT99212 | NULL | — |
| 106H00000X | Marriage & Family Therapist | LMFT121957 | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |

## Other

- **Enumeration date:** 05/14/2013
- **Last updated:** 01/15/2021