Organization
FRUITFUL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE LAI (PRESIDENT)
(714) 340-5941
Entity
Organization
Contact information
Practice address
112 EAST AMERIGE AVE, FULLERTON, CA 92832
(714) 340-5941
Mailing address
14271 JEFFREY RD # 296, IRVINE, CA 92620-3405
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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