Doctor Name: | STEVEN FRAUSTO |
NPI Number: | 1003103581 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, |
License Number: | ASW31584 |
Business Practice Address: | 160 W 6th St San Pedro, CA - 907313314 |
Business Phone Number: | 3108333135 |
Business Fax Number: | 3108333572 |
Mailing Address: | 1301 Pine Ave, LONG BEACH |
State: | CA |
Postal Code: | 908133124 |
Phone Number: | 3108333135 |
Fax Number: | 3108333572 |
NPI Enumeration Date: | 07/05/2011 |
NPI Last Update Date: | 02/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | ASW31584 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |