BRANDON MICHAEL FONSECA

IRVINE, CA
NPI1104475524
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  130684)
Enumeration Date2019-09-09
Last Update Date2025-12-10
Business Address
BRANDON MICHAEL FONSECA LCSW
18003 SKY PARK CIR STE H2
IRVINE, CA 92614-6526
Phone number: 714-409-5057
Mailing Address
BRANDON MICHAEL FONSECA LCSW
2910 E THOROUGHBRED ST A507
ONTARIO, CA 91761
Phone number: 714-409-5057