Individual
MRS. ANA LUCIA FONTOURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
4020 MOORPARK AVE, APT . 108, SAN JOSE, CA 95117-4102
(408) 366-4212
(408) 366-4201
Mailing address
4020 MOORPARK AVE, APT . 108, SAN JOSE, CA 95117-4102
(408) 366-4212
(408) 366-4201
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35245
LMFT
CA
Enumeration date
12/19/2006
Last updated
07/08/2007
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