Individual
CAMERON MICHAEL FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1003 S BEACON ST, SAN PEDRO, CA 90731-4324
(310) 514-4940
Mailing address
1003 S BEACON ST, SAN PEDRO, CA 90731-4324
(310) 514-4940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14984-RAC
CA
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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