Individual
BRANDON MICHAEL FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3191 W TEMPLE AVE STE 150, POMONA, CA 91768-3243
(626) 206-3139
Mailing address
3191 W TEMPLE AVE STE 150, POMONA, CA 91768-3243
(714) 409-5057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
130684
CA
Other
Enumeration date
09/09/2019
Last updated
04/21/2026
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