Individual provider · Type 1 NPI

Jose M. Fonseca, CASAC

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1003560947 Active

Practice location

1776 Clay Ave
Bronx, NY 10457-7299

Mailing address

311 E 175th St
Bronx, NY 10457-5848

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20930 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003560947

Jose M. Fonseca, CASAC's National Provider Identifier is 1003560947, issued on Feb 9, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Feb 9, 2022.