KHALIL CEDRIC FORTENBERRY

FREMONT, CA
NPI1164277869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  132001)
Enumeration Date2024-04-17
Last Update Date2024-04-17
Business Address
KHALIL CEDRIC FORTENBERRY AMFT
39159 PASEO PADRE PKWY
FREMONT, CA 94538-1608
Phone number: 510-952-1191
Mailing Address
KHALIL CEDRIC FORTENBERRY AMFT
1145 61ST AVE
OAKLAND, CA 94621-3913
Phone number: 510-289-7339
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