Individual
MS. ALICIA M FORONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
555 SOQUEL AVE STE 260, SANTA CRUZ, CA 95062-2340
(669) 245-8581
Mailing address
605 CARROL AVE, FELTON, CA 95018-8906
(669) 245-8581
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 83969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-409-7597
TAX ID
CA
Enumeration date
01/02/2008
Last updated
01/26/2021
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