Individual
LUCAS RICO FONZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
8530 LA MESA BLVD STE 306, LA MESA, CA 91942-0967
(619) 876-4426
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19628
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/31/2023
Last updated
12/02/2025
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