# ATHENA COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669527206
- **Authorized official:** MRS. ISUZU FUJITA HOPPER M.F.T (OWNER)
- **Authorized official phone:** (951) 242-6039

## Contact information

- **Practice address:** 23470 OLIVE WOOD PLAZA DR STE 140, MORENO VALLEY, CA 92553-5220
- **Practice address phone:** (951) 242-6039
- **Practice address fax:** (951) 247-4593
- **Mailing address:** PO BOX 7629, MORENO VALLEY, CA 92552-7629
- **Mailing address phone:** (951) 242-6039
- **Mailing address fax:** (951) 247-4593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC18371 | CA | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 07/15/2008