Individual provider · Type 1 NPI

Shantaya Clara Fonseca, M.A.

Mental Health Counselor · Weymouth, MA

NPI number 1073852448 Active

Practice location

541 Main St, Suite 303
Weymouth, MA 02190-1868

Call (781) 331-7866 Map

Mailing address

541 Main Street, Suite 303
Weymouth, MA 02190

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed

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About NPI 1073852448

Shantaya Clara Fonseca, M.A.'s National Provider Identifier is 1073852448, issued on Feb 5, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Weymouth, MA. The record was last updated on Feb 5, 2013.