Genevieve Maya Fragoso
Genevieve Maya Fragoso is a Professional Counselor in San Dimas, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
180 Via Verde Ste 200San Dimas, CA 91773-3993
Phone: (909) 599-1227
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 15247 (CA) |
|---|
Record details
| NPI number | 1780319079 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 20, 2022 |
| Last updated in NPPES | February 1, 2024 |
| Certification date | February 1, 2024 |
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Mr. John David Deyo, MA, LMFT, LPCC
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Christopher R Gentry
180 Via Verde, San Dimas, CA 91773-3993 · (909) 599-1227
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Kiesha Graves
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