LACY RAE FOURONG

RIVERSIDE, CA
NPI1982939138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  87955)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  60910)
Enumeration Date2009-10-06
Last Update Date2022-10-16
Business Address
Ms. LACY RAE FOURONG M.S., LMFT
4199 FLAT ROCK DR STE 130L
RIVERSIDE, CA 92505-7129
Phone number: 951-223-8131
Mailing Address
Ms. LACY RAE FOURONG M.S., LMFT
771 W BLAINE ST STE D
RIVERSIDE, CA 92507-3940
Phone number: 951-223-8131