| Doctor Name: | STEVEN E FRUTOS |
| NPI Number: | 1003069675 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LCS22881 |
| Business Practice Address: | 720 N Saint Asaph St Alexandria, VA - 223141912 |
| Business Phone Number: | 7038386376 |
| Business Fax Number: | 7038385070 |
| Mailing Address: | 4105 Conrad Rd, ALEXANDRIA |
| State: | VA |
| Postal Code: | 223121104 |
| Phone Number: | 7038386376 |
| Fax Number: | 7038385070 |
| NPI Enumeration Date: | 10/28/2008 |
| NPI Last Update Date: | 10/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS22881 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |