Individual provider · Type 1 NPI

Judith Fonseca

Counselor · San Jose, CA

NPI number 1114386760 Active

Practice location

921 S 1st St, Suite B
San Jose, CA 95110-3126

Call (408) 429-4764 Map

Mailing address

2625 Zanker Rd
San Jose, CA 95134-2130

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114386760

Judith Fonseca's National Provider Identifier is 1114386760, issued on Feb 10, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Feb 10, 2016.