Provider Demographics
NPI:1164613683
Name:DE COU FRONKOVIAK, APRIL
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:DE COU FRONKOVIAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:JEAN
Other - Last Name:DE COU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT 23445
Mailing Address - Street 1:26646 DOROTHEA
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-5902
Mailing Address - Country:US
Mailing Address - Phone:949-582-3012
Mailing Address - Fax:949-582-3012
Practice Address - Street 1:1900 E LA PALMA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-1647
Practice Address - Country:US
Practice Address - Phone:714-399-3480
Practice Address - Fax:714-399-3481
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23445106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist