Provider Demographics
NPI:1396869319
Name:FYFE, MONICA A (MFT #47541)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:A
Last Name:FYFE
Suffix:
Gender:F
Credentials:MFT #47541
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3858 W CARSON ST.
Mailing Address - Street 2:SUITE #20
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503
Mailing Address - Country:US
Mailing Address - Phone:424-206-1441
Mailing Address - Fax:
Practice Address - Street 1:3858 W CARSON ST.
Practice Address - Street 2:SUITE #20
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503
Practice Address - Country:US
Practice Address - Phone:424-206-1441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
CAMFT47541106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist