OCTAVIA RUSU FUKINO

TUSTIN, CA
NPI1801302633
Former NameOCTAVIA GAVRILA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  4612)
Additional Taxonomies103TF0000X Psychologist, Family
(Licence: CA  LMFT94660)
Enumeration Date2017-12-15
Last Update Date2017-12-15
Business Address
Mrs. OCTAVIA RUSU FUKINO LMFT #94660 LPCC#461
250 EL CAMINO REAL STE 206
TUSTIN, CA 92780-3656
Phone number: 714-882-9811
Mailing Address
Mrs. OCTAVIA RUSU FUKINO LMFT #94660 LPCC#461
7206 HAVENROCK DR
HUNTINGTON BEACH, CA 92648-3006
Phone number: 714-882-9811