Carmen Fong

NPI #1073777009 in Berkeley, California

Provider Information

NPI Number
1073777009
Entity Type
Individual
Name
Carmen Fong
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jul 18, 2008
Last Updated
May 7, 2012

Practice Location

Address
3075 ADELINE ST
Address 2
SUITE 120
ZIP Code
94703-2576
Phone
(510) 848-1112

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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